Shannon Patricia Hart, | |
2028 N Seminary Ave, Woodstock, IL 60098-2626 | |
(815) 338-3590 | |
Not Available |
Full Name | Shannon Patricia Hart |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2028 N Seminary Ave, Woodstock, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326780057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Independence Health & Therapy |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598717597 PECOS PAC ID: 2062315849 Enrollment ID: O20040129000421 |
Mailing Address | Practice Location Address |
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Shannon Patricia Hart, 987 Ascot Dr, Crystal Lake, IL 60014-8832 Ph: (773) 844-3643 | Shannon Patricia Hart, 2028 N Seminary Ave, Woodstock, IL 60098-2626 Ph: (815) 338-3590 |
Ms. Hilary Pirro, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3701 Doty Rd, Woodstock, IL 60098 Phone: 815-338-6600 Fax: 815-206-5376 | |
Ann Kearns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 E South St, Woodstock, IL 60098 Phone: 815-337-7109 | |
Mrs. Luserito Renteria, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1090 Mcconnell Rd, Woodstock, IL 60098 Phone: 815-245-6669 | |
Marianne Winifred Hutchison, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2030 N Seminary Ave, Woodstock, IL 60098 Phone: 815-679-4649 | |
Donna Fischer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1401 Savanna Ln, Woodstock, IL 60098 Phone: 815-382-4767 | |
Mr. Edwin Talcott Bennett, MSW-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2028 N Seminary Ave, Woodstock, IL 60098 Phone: 815-333-8651 Fax: 815-337-4406 | |
Julie Bowen Gibson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 218 1/2 Main St, Woodstock, IL 60098 Phone: 773-991-5047 |