| Susan D Clark, LCSW, MSW, ACSW | |
|
25 N. Winfield Rd., Winfield, IL 60190-1295 | |
| (630) 933-4847 | |
| (630) 933-4558 |
| Full Name | Susan D Clark |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 25 N. Winfield Rd., Winfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285911149 | NPI | - | NPPES |
| 206147 | Other | IL | MEDICARE (GROUP) |
| F400093421 | Other | IL | MEDICARE (INDIVIDUAL0 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149004743 (Illinois) | Primary |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan D Clark, LCSW, MSW, ACSW 25 N. Winfield Rd., Winfield, IL 60190-1295 Ph: (630) 933-4847 | Susan D Clark, LCSW, MSW, ACSW 25 N. Winfield Rd., Winfield, IL 60190-1295 Ph: (630) 933-4847 |
Ms. Anne M. Callanan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27w 130 Roosevelt Rd., Suite 203, Winfield, IL 60190 Phone: 630-588-8490 |
Debra Crystal, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 N. Winfield Rd, Winfield, IL 60190 Phone: 630-933-4056 |
Elizabeth Stewart Hanna, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1n141 County Farm Rd Ste 130, Winfield, IL 60190 Phone: 630-752-9725 |
Amy Oomens-lozano, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 0n713 Concord Ln, Winfield, IL 60190 Phone: 630-456-3260 |
Mrs. Susan L Garrison, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1n121 County Farm Rd, Suite 220, Winfield, IL 60190 Phone: 630-460-0636 |
Ms. Sally C Mccarthy, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 Fleming Dr, Winfield, IL 60190 Phone: 630-329-9446 |
Julia Friesen, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27w140 Roosevelt Rd, Ste 206, Winfield, IL 60190 Phone: 312-965-3715 Fax: 630-230-4232 |