| Kathleen S Mcnulty, LCSW | |
| 
					2100 Manchester Rd Ste 400, Wheaton, IL 60187-4581  | |
| (630) 664-6036 | |
| Not Available | 
| Full Name | Kathleen S Mcnulty | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 2100 Manchester Rd Ste 400, Wheaton, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1124187596 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149004463 (Illinois) | Secondary | 
| 1041C0700X | Social Worker - Clinical | IL149-004463 (Illinois) | Primary | 
| Entity Name | Kathy Mcnulty Lcsw, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1215388939 PECOS PAC ID: 4183919269 Enrollment ID: O20160829001686  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kathleen S Mcnulty, LCSW 2100 Manchester Rd Ste 400, Wheaton, IL 60187-4581 Ph: (630) 664-6036  | Kathleen S Mcnulty, LCSW 2100 Manchester Rd Ste 400, Wheaton, IL 60187-4581 Ph: (630) 664-6036  | 
Kathryn P Bach, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1608 Cavalier Ct, Wheaton, IL 60189 Phone: 630-561-6070  | |
Mark Charles Macdonald, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 W Roosevelt Rd, Suite A2, Wheaton, IL 60187 Phone: 630-462-8810 Fax: 630-462-8820  | |
Mrs. Molly Alice Ryan Wollenweber, LCSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 128 S County Farm Rd Ste C, Wheaton, IL 60187 Phone: 630-423-2350  | |
Mr. Kenton James Withrow, LCSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1530 N Main St, Wheaton, IL 60187 Phone: 630-653-6400 Fax: 630-653-6490  | |
Maria Guadalupe Echeverria, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 222 E Willow Ave, Wheaton, IL 60187 Phone: 630-784-4805  | |
Mrs. Kelly Elizabeth Reilly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 N Erie St, Wheaton, IL 60187 Phone: 630-518-1545  | |
Randolph Paul Andersen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 128 S County Farm Rd Ste C, Wheaton, IL 60187 Phone: 630-447-8818  |