| Bmsc Tx Llc | |
|
10204 Bode St Ste B Plainfield IL 60585-9813 | |
| (855) 241-7160 | |
| (954) 324-8354 |
| Full Name | Bmsc Tx Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10204 Bode St Ste B, Plainfield, Illinois |
| Authorized Official Name and Position | Melanie Donohue (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8552417160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bmsc Tx Llc 10204 Bode St Ste B Plainfield IL 60585-9813 Ph: (855) 241-7160 | Bmsc Tx Llc 10204 Bode St Ste B Plainfield IL 60585-9813 Ph: (855) 241-7160 |
| NPI Number | 1215485198 |
|---|---|
| Provider Enumeration Date | 09/20/2016 |
| Last Update Date | 05/18/2021 |
| Certification Date | 05/18/2021 |
| Medicare PECOS PAC ID | 1052680949 |
|---|---|
| Medicare Enrollment ID | O20170710000725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215485198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Beth Kobb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679624290 PECOS PAC ID: 4385535913 Enrollment ID: I20040323001191 |
| Provider Name | Cheryl A Camarillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093855678 PECOS PAC ID: 7911981691 Enrollment ID: I20040618000166 |
| Provider Name | Edward Jason Muldrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851378814 PECOS PAC ID: 0244201879 Enrollment ID: I20040805000478 |
| Provider Name | Nathan Scott Havlick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558479063 PECOS PAC ID: 9537103544 Enrollment ID: I20050610000398 |
| Provider Name | Emily J O'shea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932187325 PECOS PAC ID: 5991863516 Enrollment ID: I20081024000537 |
| Provider Name | Kimberly M Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306044367 PECOS PAC ID: 6103974423 Enrollment ID: I20090424000371 |
| Provider Name | Holly Jean Wallraff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245586999 PECOS PAC ID: 3870740350 Enrollment ID: I20120906000364 |
| Provider Name | Gregory J Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700025814 PECOS PAC ID: 7719115500 Enrollment ID: I20140127000045 |
| Provider Name | Maria C Davila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235554858 PECOS PAC ID: 0042535155 Enrollment ID: I20150212001676 |
| Provider Name | Gerald D Nicklen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558496919 PECOS PAC ID: 9032405394 Enrollment ID: I20160913000983 |
| Provider Name | Harjot K Toolson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588070932 PECOS PAC ID: 2264729417 Enrollment ID: I20161003000919 |
| Provider Name | Roman Gabriel Venegas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467704783 PECOS PAC ID: 0840579991 Enrollment ID: I20161114002079 |
| Provider Name | Sandra Grimes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679019954 PECOS PAC ID: 9537443809 Enrollment ID: I20170306000531 |
| Provider Name | Arun Joshua Mathew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821265133 PECOS PAC ID: 2860662558 Enrollment ID: I20180509002897 |
| Provider Name | Margaret Goodrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184121980 PECOS PAC ID: 3274898507 Enrollment ID: I20180607000758 |
| Provider Name | Paige Neumeyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538657663 PECOS PAC ID: 0244595528 Enrollment ID: I20180607002848 |
| Provider Name | Dana D Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346608866 PECOS PAC ID: 1254686611 Enrollment ID: I20180626002814 |
| Provider Name | Frank Quinones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114268562 PECOS PAC ID: 7810247434 Enrollment ID: I20180831001634 |
| Provider Name | Vivian Olmos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588843957 PECOS PAC ID: 9335490044 Enrollment ID: I20180919002376 |
| Provider Name | Allahna Kaj |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013052026 PECOS PAC ID: 6103954615 Enrollment ID: I20181022001030 |
| Provider Name | Toritseju Olley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821351032 PECOS PAC ID: 0840519112 Enrollment ID: I20181022001852 |
| Provider Name | Antoinette Winters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801077755 PECOS PAC ID: 4183977309 Enrollment ID: I20181105001561 |
| Provider Name | Jill Arechiga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891270476 PECOS PAC ID: 4486907607 Enrollment ID: I20181105001951 |
| Provider Name | Caren J Jeskey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629401120 PECOS PAC ID: 3476890260 Enrollment ID: I20190201001221 |
| Provider Name | Adam Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235588591 PECOS PAC ID: 2961736905 Enrollment ID: I20190626000426 |
| Provider Name | Chamara Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033463229 PECOS PAC ID: 7416285192 Enrollment ID: I20190819002796 |
| Provider Name | Kristina Byrd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790297562 PECOS PAC ID: 9436416450 Enrollment ID: I20191030001453 |
| Provider Name | Elizabeth Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497020473 PECOS PAC ID: 5294167094 Enrollment ID: I20191116000206 |
| Provider Name | Theresa Stringer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235626086 PECOS PAC ID: 2567898992 Enrollment ID: I20200204000667 |
| Provider Name | Avi D Riber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831421551 PECOS PAC ID: 8729415104 Enrollment ID: I20200225000142 |
| Provider Name | Erica Bones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316593924 PECOS PAC ID: 1355778671 Enrollment ID: I20200227000257 |
| Provider Name | Ruslyn Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689200339 PECOS PAC ID: 8022447259 Enrollment ID: I20200408004717 |
| Provider Name | Anita L Morrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447605266 PECOS PAC ID: 4880941905 Enrollment ID: I20200424000981 |
| Provider Name | Michelle Tompkins Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942770847 PECOS PAC ID: 7719309673 Enrollment ID: I20200623000038 |
| Provider Name | Ashley Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124640917 PECOS PAC ID: 3779901269 Enrollment ID: I20200923001622 |
| Provider Name | Ethel Mae Richard-peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750648119 PECOS PAC ID: 4587084496 Enrollment ID: I20201014003478 |
| Provider Name | Edith J. Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366824708 PECOS PAC ID: 9537574215 Enrollment ID: I20210210000115 |
| Provider Name | Jennifer Ann Didier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902498207 PECOS PAC ID: 2567877590 Enrollment ID: I20210224001891 |
| Provider Name | Melissa Anne Hoskins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760738777 PECOS PAC ID: 5193098150 Enrollment ID: I20210505000370 |
| Provider Name | Jaime Johnson Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881947638 PECOS PAC ID: 8628474368 Enrollment ID: I20210907000501 |
| Provider Name | Clarissa Amor Peralta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104240688 PECOS PAC ID: 0042618571 Enrollment ID: I20211013001578 |
| Provider Name | Abby Wasson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588328520 PECOS PAC ID: 0345631339 Enrollment ID: I20211230000932 |
| Provider Name | Leila El Bathy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982046322 PECOS PAC ID: 1153644455 Enrollment ID: I20220505001240 |
| Provider Name | Nikida Elaine Polk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275982423 PECOS PAC ID: 0143603431 Enrollment ID: I20220819000332 |
| Provider Name | Asia Logan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114419504 PECOS PAC ID: 2365819489 Enrollment ID: I20221102002765 |
| Provider Name | Gina Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588891923 PECOS PAC ID: 6507138716 Enrollment ID: I20221217000027 |
| Provider Name | Melody S Hatter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306422324 PECOS PAC ID: 6901278381 Enrollment ID: I20230213000532 |
| Provider Name | Tammerah D Copeland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669593711 PECOS PAC ID: 3779765649 Enrollment ID: I20230320000766 |
| Provider Name | Yuanmei Zhou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659015865 PECOS PAC ID: 8921464165 Enrollment ID: I20230515001135 |
| Provider Name | Courtney Tierra Keith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770093452 PECOS PAC ID: 6901201607 Enrollment ID: I20231121002375 |
| Provider Name | Veronica Molina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174206486 PECOS PAC ID: 1355786369 Enrollment ID: I20240229002833 |
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