| Stephen K Kimani, LCSW | |
| 
					202 Joliet St, Suite 200 B, Dyer, IN 46311-1724  | |
| (219) 934-6410 | |
| (219) 934-6420 | 
| Full Name | Stephen K Kimani | 
|---|---|
| Gender | Male | 
| Speciality | Social Worker - Clinical | 
| Location | 202 Joliet St, Dyer, Indiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023059078 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34000020A (Indiana) | Primary | 
| Entity Name | Monumental Behavioral Health Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1295205615 PECOS PAC ID: 7416282611 Enrollment ID: O20190710002526  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Stephen K Kimani, LCSW 202 Joliet St, Suite 200 B, Dyer, IN 46311-1724 Ph: (219) 934-6410  | Stephen K Kimani, LCSW 202 Joliet St, Suite 200 B, Dyer, IN 46311-1724 Ph: (219) 934-6410  | 
Brian Wortel,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Main St, Dyer, IN 46311 Phone: 219-367-2661  | |
Miss Susan M Meiller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-322-5747 Fax: 219-864-2282  | |
Joseph E Chamberlain, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-322-5747 Fax: 219-864-2282  | |
Joyce A White, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-864-2160 Fax: 219-864-2599  | |
Peggy A Quinn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-322-5747 Fax: 219-864-2282  | |
Rachael Beth Waldman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 Flagstone Dr, Dyer, IN 46311 Phone: 847-875-8097  |