| Mrs Kristen Sweas Fenton, LCSW | |
| 
					1007 Church Street, Suite 415, Evanston, IL 60201  | |
| (312) 532-4353 | |
| (847) 869-9438 | 
| Full Name | Mrs Kristen Sweas Fenton | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 1007 Church Street, Evanston, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235260936 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149014052 (Illinois) | Primary | 
| Entity Name | Mosaic Counseling And Wellness Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1851065502 PECOS PAC ID: 1355728353 Enrollment ID: O20220512001904  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Kristen Sweas Fenton, LCSW 130 N Garland Court, Unit 4505, Chicago, IL 60602 Ph: (312) 532-4353  | Mrs Kristen Sweas Fenton, LCSW 1007 Church Street, Suite 415, Evanston, IL 60201 Ph: (312) 532-4353  | 
Tabitha Ledbetter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 355 Ridge Ave Fl 2, Evanston, IL 60202 Phone: 847-316-6262 Fax: 847-316-2214  | |
Kathleen Ann Valadez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 355 Ridge Ave Fl 2, Evanston, IL 60202 Phone: 847-316-3703  | |
Kathleen A. Bogie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2143 Lincolnwood Dr, Evanston, IL 60201 Phone: 224-392-5467  | |
Gabrielle Celia Stern,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2530 Crawford Ave Ste 207, Evanston, IL 60201 Phone: 847-732-5305  | |
Susan Burkhardt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1005 Mulford St, Evanston, IL 60202 Phone: 847-328-8207  | |
Ellen Kenemore, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 708 Church St, Suite 227, Evanston, IL 60201 Phone: 847-491-0080 Fax: 847-251-1266  | |
Nora Josephine Walsh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 636 Church St Ste 507, Evanston, IL 60201 Phone: 847-409-6288  |