| Mrs Bethany Raye Borrenpohl, LCSW | |
|
13317 County Highway 12, Venedy, IL 62214-1103 | |
| (618) 317-1537 | |
| Not Available |
| Full Name | Mrs Bethany Raye Borrenpohl |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 16 Years |
| Location | 13317 County Highway 12, Venedy, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861860124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.07552 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Live Well Counseling Services | 5991002420 | 14 |
| Entity Name | Live Well Counseling Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881055838 PECOS PAC ID: 5991002420 Enrollment ID: O20160329002203 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Bethany Raye Borrenpohl, LCSW 13317 County Highway 12, Venedy, IL 62214-1103 Ph: (618) 317-1537 | Mrs Bethany Raye Borrenpohl, LCSW 13317 County Highway 12, Venedy, IL 62214-1103 Ph: (618) 317-1537 |
Donna M Tebbe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13317 County Highway 12, Venedy, IL 62214 Phone: 618-317-1537 | |
Catherine Roepke Taylor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13317 County Highway 12, Venedy, IL 62214 Phone: 618-317-1537 | |
Linda A Schuh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13317 County Highway 12, Venedy, IL 62214 Phone: 618-317-1537 | |
Christina Marie Gall, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13317 County Highway 12, Venedy, IL 62214 Phone: 618-317-1537 | |
Brittany Graham, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13317 County Highway 12, Venedy, IL 62214 Phone: 618-317-1537 | |
Ms. Rachel Elizabeth Denzin, MSW, M.ED, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13317 County Highway 12, Venedy, IL 62214 Phone: 618-317-1537 Fax: 618-824-6681 |