| Lee William Scott, LCSW | |
| 
					1701 E Lincoln Hwy, Dekalb, IL 60115-3956  | |
| (815) 758-6550 | |
| (815) 758-4239 | 
| Full Name | Lee William Scott | 
|---|---|
| Gender | Male | 
| Speciality | Social Worker - Clinical | 
| Location | 1701 E Lincoln Hwy, Dekalb, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306434618 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.016092 (Illinois) | Primary | 
| Entity Name | Thriveworks Clinical - Illinois | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1164190633 PECOS PAC ID: 6800263823 Enrollment ID: O20221104000575  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lee William Scott, LCSW 1701 E Lincoln Hwy, Dekalb, IL 60115-3956 Ph: (815) 758-6550  | Lee William Scott, LCSW 1701 E Lincoln Hwy, Dekalb, IL 60115-3956 Ph: (815) 758-6550  | 
Jennifer L Weber, LSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Health Services Dr, Dekalb, IL 60115 Phone: 815-756-4875 Fax: 815-756-2944  | |
Prof. Meryl Greer Domina, LCSW, PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Health Services Drive, Dekalb, IL 60115 Phone: 815-758-8616 Fax: 815-758-7569  | |
Tara Brooks Bider, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2568 Sycamore Rd, Dekalb, IL 60115 Phone: 815-469-1500 Fax: 779-216-3069  | |
Della Saunders Clements, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12 Health Services Dr, Dekalb, IL 60115 Phone: 815-756-4875 Fax: 815-756-2944  | |
Mrs. Katherine Grace Farenkopf,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Health Services Dr, Dekalb, IL 60115 Phone: 815-766-3638  | |
Ms. Vicki Grunnet-alden, PH.D, LCSW, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3301 Resource Pkwy Ste 3, Dekalb, IL 60115 Phone: 630-297-3617  | |
Emily Bredlau, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12 Health Services Dr, Dekalb, IL 60115 Phone: 815-766-3194  |