| Loren Jessica Havrilla, LCSW | |
|
8924 Lamon Ave Apt 2, Skokie, IL 60077-1995 | |
| (312) 890-5800 | |
| Not Available |
| Full Name | Loren Jessica Havrilla |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 8924 Lamon Ave Apt 2, Skokie, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376095364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Blue Moon Senior Counseling Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841562931 PECOS PAC ID: 7012172893 Enrollment ID: O20120628000431 |
| 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 |
| Entity Name | Direct Access Counseling & Supportive Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679011449 PECOS PAC ID: 3971878398 Enrollment ID: O20190408002027 |
| Entity Name | Energize Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295389666 PECOS PAC ID: 0840529715 Enrollment ID: O20190903001937 |
| Mailing Address | Practice Location Address |
|---|---|
| Loren Jessica Havrilla, LCSW 8924 Lamon Ave Apt 2, Skokie, IL 60077-1995 Ph: (312) 890-5800 | Loren Jessica Havrilla, LCSW 8924 Lamon Ave Apt 2, Skokie, IL 60077-1995 Ph: (312) 890-5800 |
Jennifer Elana Jenks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5210 Main St, Skokie, IL 60077 Phone: 773-371-3711 | |
Mr. Jerry M. Zabin, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9701 Knox Ave, 214, Skokie, IL 60076 Phone: 847-677-3055 Fax: 847-329-9316 | |
Joseph Allaire, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8707 Skokie Blvd Ste 310, Skokie, IL 60077 Phone: 847-568-1100 | |
Mary Beth A Golden, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5301 Dempster St, Skokie, IL 60077 Phone: 773-710-3636 Fax: 773-267-6620 | |
Geraldine Cooper Krasner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5225 Old Orchard Rd., Suite 1, Skokie, IL 60077 Phone: 847-965-8155 Fax: 847-256-9440 | |
Cordelia Loots-gollin, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8324 Skokie Blvd, Skokie, IL 60077 Phone: 847-933-0051 | |
Kelly O'meara, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8324 Skokie Blvd, Skokie, IL 60077 Phone: 847-933-0051 |