| Suzanne Marie Heinzl Mullins, LCSW | |
| 
					820 W Highway 50 Ste B, O Fallon, IL 62269-1827  | |
| (618) 577-0951 | |
| Not Available | 
| Full Name | Suzanne Marie Heinzl Mullins | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 820 W Highway 50 Ste B, O Fallon, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1851695027 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.014391 (Illinois) | Primary | 
| Entity Name | Vitae Health Medical Illinois, Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Suzanne Marie Heinzl Mullins, LCSW 46 Grainey Dr, Glen Carbon, IL 62034-3217 Ph: (618) 577-0951  | Suzanne Marie Heinzl Mullins, LCSW 820 W Highway 50 Ste B, O Fallon, IL 62269-1827 Ph: (618) 577-0951  | 
Rachel Salazar, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 209 Woodland Ct, O Fallon, IL 62269 Phone: 303-564-0711  | |
Robert F Stoelzle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1529 Round Top Rdg, O Fallon, IL 62269 Phone: 618-581-0224  | |
Mrs. Carmen Jean Schott, LCSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Eagle Ctr Ste B-1, O Fallon, IL 62269 Phone: 618-982-3511 Fax: 618-726-2043  | |
Kristin Beckstrom Radcliffe, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8 Eagle Ctr, Suite 4, O Fallon, IL 62269 Phone: 618-616-1235  | |
Renata B Sledge, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1329 Pepperidge Dr, O Fallon, IL 62269 Phone: 317-451-9298  | |
Krista Michelle Mcdonald, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 E State St Ste 2a, O Fallon, IL 62269 Phone: 618-402-4676  | |
Mrs. Janel Morey-sassano, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 752 Seagate Dr, O Fallon, IL 62269 Phone: 618-213-2442 Fax: 618-769-2161  |