Mrs Audrey Damore, LCSW, CADC in Spring Grove, IL - Medicare Social Worker Provider

Mrs Audrey Damore, LCSW, CADC is a medicare enrolled "Social Worker - Clinical" provider in Spring Grove, Illinois. Her current practice location is 3809 Magnolia Dr, Spring Grove, Illinois. You can reach out to her office (for appointments etc.) via phone at (612) 741-1178.

Mrs Audrey Damore is licensed to practice in Illinois (license number 149.020182) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588056766.

Contact Information

	Mrs Audrey Damore, LCSW, CADC
	3809 Magnolia Dr, Spring Grove, IL 60081-8631
	(612) 741-1178
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Audrey Damore
Gender	Female
Speciality	Social Worker - Clinical
Location	3809 Magnolia Dr, Spring Grove, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588056766
Provider Enumeration Date: 02/25/2015
Last Update Date: 09/10/2021

Medicare PECOS Information:

PECOS PAC ID: 5092062281
Enrollment ID: I20211007001152

Medical Identifiers

Medical identifiers for Mrs Audrey Damore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588056766	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.020182 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Audrey Damore allows following entities to bill medicare on her behalf.

Entity Name	Calmly Centered Therapy, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558030148 PECOS PAC ID: 7618375783 Enrollment ID: O20211005001213

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Audrey Damore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Audrey Damore, LCSW, CADC 3809 Magnolia Dr, Spring Grove, IL 60081-8631 Ph: (612) 741-1178	Mrs Audrey Damore, LCSW, CADC 3809 Magnolia Dr, Spring Grove, IL 60081-8631 Ph: (612) 741-1178

Reviews and Comments

Social Worker in Spring Grove, IL

Elizabeth M Rendon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2440 Westward Dr, Spring Grove, IL 60081 Phone: 847-445-0023
Christina Marie Martorano, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2440 Westward Dr Unit B, Spring Grove, IL 60081 Phone: 847-445-0023
Nancy Peterson Walz, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2502 Spring Ridge Dr, Ste F, Spring Grove, IL 60081 Phone: 815-382-7029 Fax: 815-363-5584

Mrs Audrey Damore, LCSW, CADC - Medicare Clinical Social Worker in Spring Grove, IL