| Amy J. Gartner,lcsw, Inc. | |
|
3210 Prairie View Dr Mchenry IL 60050-8014 | |
| (815) 307-6056 | |
| Not Available |
| Full Name | Amy J. Gartner,lcsw, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 3210 Prairie View Dr, Mchenry, Illinois |
| Authorized Official Name and Position | Amy J Gartner (PRESIDENT) |
| Authorized Official Contact | 8153076056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy J. Gartner,lcsw, Inc. 8600 Us Highway 14 Suite 105 Crystal Lake IL 60012 Ph: (815) 307-6056 | Amy J. Gartner,lcsw, Inc. 3210 Prairie View Dr Mchenry IL 60050-8014 Ph: (815) 307-6056 |
| NPI Number | 1609016864 |
|---|---|
| Provider Enumeration Date | 03/02/2009 |
| Last Update Date | 03/02/2009 |
| Medicare PECOS PAC ID | 4688721483 |
|---|---|
| Medicare Enrollment ID | O20090414000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609016864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149011534 (Illinois) | Primary |
| Provider Name | Amy J Gartner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982841359 PECOS PAC ID: 1153478946 Enrollment ID: I20090414000354 |
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