| Dagmara Lidia Severino, | |
|
1020 Castlewood Ln, Deerfield, IL 60015-2646 | |
| (773) 710-3955 | |
| Not Available |
| Full Name | Dagmara Lidia Severino |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 16 Years |
| Location | 1020 Castlewood Ln, Deerfield, 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 |
|---|---|---|---|
| 1942166004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.016826 (Illinois) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vitae Health Medical Illinois, Pllc | 2365798410 | 214 |
| 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 |
|---|---|
| Dagmara Lidia Severino, 1020 Castlewood Ln, Deerfield, IL 60015-2646 Ph: Not Available | Dagmara Lidia Severino, 1020 Castlewood Ln, Deerfield, IL 60015-2646 Ph: (773) 710-3955 |
Josephine Carpenter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Lake Cook Rd, Deerfield, IL 60015 Phone: 847-238-2550 |
Michelle Lee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2065 Half Day Rd # T-1594, Deerfield, IL 60015 Phone: 312-978-6485 |
Ms. Maura Jean Mooney, LCSW, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 49 S Waukegan Rd, Suite 200, Deerfield, IL 60015 Phone: 847-400-8416 |
Norine Freedman, M.A. , L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 929 Fountain View Dr, Deerfield, IL 60015 Phone: 847-291-1900 Fax: 847-267-8383 |
Mrs. Gina Guerra-sacchetti, M.A., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 570 Lake Cook Rd Ste 117, Deerfield, IL 60015 Phone: 847-901-3182 |
Miss Jessica Bloom, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 570 Lake Cook Rd Ste 117, Deerfield, IL 60015 Phone: 727-237-6735 |
Karolina Kozakiewicz, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Lake Cook Rd Ste A203, Deerfield, IL 60015 Phone: 224-228-8834 |