| Mr Andrew Nichols C Nichols, MSW, LCSW | |
|
1761 S Naperville Rd, Ste 200, Wheaton, IL 60189-5846 | |
| (630) 260-0606 | |
| (630) 260-1049 |
| Full Name | Mr Andrew Nichols C Nichols |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 32 Years |
| Location | 1761 S Naperville Rd, Wheaton, 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 |
|---|---|---|---|
| 1821161787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149006444 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Samaritan Interfaith Counseling Center Inc | 8426014994 | 18 |
| Entity Name | Samaritan Interfaith Counseling Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497842983 PECOS PAC ID: 8426014994 Enrollment ID: O20041207000048 |
| Entity Name | Summit Clinical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518082502 PECOS PAC ID: 6608880497 Enrollment ID: O20060201000072 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Andrew Nichols C Nichols, MSW, LCSW 1761 S Naperville Rd, Ste 200, Wheaton, IL 60189-5846 Ph: (630) 260-0606 | Mr Andrew Nichols C Nichols, MSW, LCSW 1761 S Naperville Rd, Ste 200, Wheaton, IL 60189-5846 Ph: (630) 260-0606 |
Kathryn P Bach, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1608 Cavalier Ct, Wheaton, IL 60189 Phone: 630-561-6070 | |
Mark Charles Macdonald, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 W Roosevelt Rd, Suite A2, Wheaton, IL 60187 Phone: 630-462-8810 Fax: 630-462-8820 | |
Mrs. Molly Alice Ryan Wollenweber, LCSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 128 S County Farm Rd Ste C, Wheaton, IL 60187 Phone: 630-423-2350 | |
Mr. Kenton James Withrow, LCSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1530 N Main St, Wheaton, IL 60187 Phone: 630-653-6400 Fax: 630-653-6490 | |
Maria Guadalupe Echeverria, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 222 E Willow Ave, Wheaton, IL 60187 Phone: 630-784-4805 | |
Mrs. Kelly Elizabeth Reilly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 N Erie St, Wheaton, IL 60187 Phone: 630-518-1545 | |
Randolph Paul Andersen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 128 S County Farm Rd Ste C, Wheaton, IL 60187 Phone: 630-447-8818 |