| Nicole Ashley Jazo, | |
|
760 Foxpointe Dr, Sycamore, IL 60178-3221 | |
| (815) 748-8334 | |
| (815) 748-8921 |
| Full Name | Nicole Ashley Jazo |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 12 Years |
| Location | 760 Foxpointe Dr, Sycamore, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619223591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149020096 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dekalb Behavioral Health Foundation, Inc. | 9436451655 | 21 |
| Entity Name | Dekalb Behavioral Health Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255703450 PECOS PAC ID: 9436451655 Enrollment ID: O20160111000872 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Ashley Jazo, Po Box 1109, Dekalb, IL 60115-7109 Ph: (815) 766-3024 | Nicole Ashley Jazo, 760 Foxpointe Dr, Sycamore, IL 60178-3221 Ph: (815) 748-8334 |
Mrs. Sharon Lynn Carani, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 W Prairie Dr, Sycamore, IL 60178 Phone: 815-899-0501 | |
Dana Macklin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1958 Aberdeen Ct Ste 7, Sycamore, IL 60178 Phone: 779-508-6544 Fax: 779-222-4126 | |
Christine M Cavallaro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 806 Dekalb Ave Ste 3, Sycamore, IL 60178 Phone: 630-297-7559 | |
Mr. Timothy M Tronc, MSW, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 920 W Prairie Dr, Suite F, Sycamore, IL 60178 Phone: 815-899-0339 Fax: 815-899-2098 | |
Brittany Pagan-male, LCSW, CADC, DVPC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2128 Midlands Ct, Suite 107, Sycamore, IL 60178 Phone: 815-758-8400 Fax: 815-758-8441 | |
Mckenzie Wilkins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2540 Hauser Ross Dr, Suite 225, Sycamore, IL 60178 Phone: 815-758-8400 Fax: 815-758-8441 | |
Debra C Farnsworth, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 760 Foxpointe Dr, Sycamore, IL 60178 Phone: 815-748-8334 |