| Mrs Kathryn Nixon Foster, LCSW | |
| 
					329 N Genesee St, Waukegan, IL 60085-4205  | |
| (847) 623-1730 | |
| (847) 623-1733 | 
| Full Name | Mrs Kathryn Nixon Foster | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 329 N Genesee St, Waukegan, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043792823 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.018341 (Illinois) | Primary | 
| Entity Name | Youth & Family Counseling | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1487770798 PECOS PAC ID: 3173674678 Enrollment ID: O20090623000561  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Kathryn Nixon Foster, LCSW 329 N Genesee St, Waukegan, IL 60085-4205 Ph: (847) 623-1730  | Mrs Kathryn Nixon Foster, LCSW 329 N Genesee St, Waukegan, IL 60085-4205 Ph: (847) 623-1730  | 
Orly Avidor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085 Phone: 847-377-8440  | |
Katrina Haywood,  Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8296 Fax: 847-984-5689  | |
Tara Sheppard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 415 Washington St Ste 216s, Waukegan, IL 60085 Phone: 773-991-3983  | |
Jacqueline Marolt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3101 E Newcastle Ct, Waukegan, IL 60087 Phone: 262-891-2682  | |
Mrs. Michele L Esser, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8971 Fax: 847-984-5602  | |
Mr. Eugene Carroll Marceron Jr., LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2025 Washington St, Waukegan, IL 60085 Phone: 847-360-1020 Fax: 847-360-1065  |