Ms Patricia Hernandez, LCSW, ICDVP | |
402 Bellarmine Dr W, Joliet, IL 60436-1806 | |
(815) 823-7175 | |
Not Available |
Full Name | Ms Patricia Hernandez |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 402 Bellarmine Dr W, Joliet, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861904955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149017360 (Illinois) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
Mailing Address | Practice Location Address |
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Ms Patricia Hernandez, LCSW, ICDVP 402 Bellarmine Dr W, Joliet, IL 60436-1806 Ph: () - | Ms Patricia Hernandez, LCSW, ICDVP 402 Bellarmine Dr W, Joliet, IL 60436-1806 Ph: (815) 823-7175 |
Cletus A Meiergerd, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 Ella Ave, Joliet, IL 60433 Phone: 815-727-8521 | |
Ruth Edith Gerhart, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 501 Ella Ave, Joliet, IL 60433 Phone: 815-740-5529 | |
Stacey Roberson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2121 Oneida St, 304, Joliet, IL 60435 Phone: 815-730-6800 Fax: 815-730-6868 | |
Mr. James Stanley Kubalewski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2212 Mcdonough St, Joliet, IL 60436 Phone: 815-725-2209 | |
Jessica Lynne Anderson-gonzalez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 350 Houbolt Rd, Joliet, IL 60431 Phone: 779-379-2654 | |
Mr. Mark Allen Roy, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1000 Essington Rd, Joliet, IL 60435 Phone: 708-535-3132 | |
Mrs. Sandra Mcclain-jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 311 N Ottawa St, Joliet, IL 60432 Phone: 815-774-9037 |