| Mark Harris, LCSW | |
|
21205 Sophia Dr, Matteson, IL 60443-1860 | |
| (708) 271-7363 | |
| Not Available |
| Full Name | Mark Harris |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 21205 Sophia Dr, Matteson, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083217061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149026521 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loretto Hospital | 5193725893 | 39 |
| Entity Name | Loretto Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447280284 PECOS PAC ID: 5193725893 Enrollment ID: O20070103000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Harris, LCSW 21205 Sophia Dr, Matteson, IL 60443-1860 Ph: (708) 271-7363 | Mark Harris, LCSW 21205 Sophia Dr, Matteson, IL 60443-1860 Ph: (708) 271-7363 |
Angela Maria Cunningham, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4747 Lincoln Mall Dr, Matteson, IL 60443 Phone: 708-843-3835 | |
Pamela A Schmeckpeper, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3710 215th St, 303, Matteson, IL 60443 Phone: 708-481-8271 | |
Earnesto Williams, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6329 Fox Run Ln, Matteson, IL 60443 Phone: 708-932-4466 | |
Latoya A Bingham, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4316 Lindenwood Dr, Matteson, IL 60443 Phone: 630-791-0498 | |
Ms. Rachel R. Hernandez, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4440 Lincoln Hwy, Ste. 307, Matteson, IL 60443 Phone: 815-509-9974 Fax: 815-933-2116 | |
Kiera Gordon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4361 Thornwood Ave, Matteson, IL 60443 Phone: 708-825-7697 |