| Mrs Beverly Ann Smith, LCSW | |
|
20601 Promethian Way, Olympia Fields, IL 60461-1517 | |
| (708) 351-6729 | |
| Not Available |
| Full Name | Mrs Beverly Ann Smith |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 18 Years |
| Location | 20601 Promethian Way, Olympia Fields, 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 |
|---|---|---|---|
| 1891203956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.019537 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vitae Health Medical Illinois, Pllc | 2365798410 | 175 |
| Entity Name | Vitae Health Medical Illinois, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Beverly Ann Smith, LCSW 20601 Promethian Way, Olympia Fields, IL 60461-1517 Ph: (708) 351-6729 | Mrs Beverly Ann Smith, LCSW 20601 Promethian Way, Olympia Fields, IL 60461-1517 Ph: (708) 351-6729 |
Ms. Carol Bruell, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3612 W Lincoln Hwy, Suite 4, Olympia Fields, IL 60461 Phone: 708-309-2239 Fax: 815-462-3962 | |
Mr. D Frank Elam, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3612 Lincoln Hwy, Suite 4, Olympia Fields, IL 60461 Phone: 708-805-7090 | |
Mrs. Connie Harris Senter, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3612 Lincoln Hwy, Suite 4, Olympia Fields, IL 60461 Phone: 708-747-1322 | |
Mr. Gerald Joseph Gripshover, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3612 Lincoln Hwy, Suite 14b, Olympia Fields, IL 60461 Phone: 708-288-4089 | |
Linda Whittaker, MA, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1024 Roslyn Rd, Olympia Fields, IL 60461 Phone: 708-747-0625 | |
Margaret Kelly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2517 Athens Rd, Olympia Fields, IL 60461 Phone: 708-743-9090 Fax: 708-283-1806 | |
Mrs. Diane Campbell Marston, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3612 Lincoln Hwy, Suite 17, Olympia Fields, IL 60461 Phone: 708-481-1817 |