| Lora Windsor Lcsw Cadc Ltd. | |
|
825 W State St Ste 103c Geneva IL 60134-2078 | |
| (630) 204-0447 | |
| (630) 232-4110 |
| Full Name | Lora Windsor Lcsw Cadc Ltd. |
|---|---|
| Speciality | Social Worker |
| Location | 825 W State St Ste 103c, Geneva, Illinois |
| Authorized Official Name and Position | Lora D Windsor (PRESIDENT) |
| Authorized Official Contact | 6302040447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lora Windsor Lcsw Cadc Ltd. 825 W State St Ste 103c Geneva IL 60134-2078 Ph: (630) 204-0447 | Lora Windsor Lcsw Cadc Ltd. 825 W State St Ste 103c Geneva IL 60134-2078 Ph: (630) 204-0447 |
| NPI Number | 1972751329 |
|---|---|
| Provider Enumeration Date | 08/28/2008 |
| Last Update Date | 08/28/2008 |
| Medicare PECOS PAC ID | 1052328226 |
|---|---|
| Medicare Enrollment ID | O20060313000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972751329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 22413 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149-010944 (Illinois) | Primary |
| Provider Name | Lora D Windsor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811053242 PECOS PAC ID: 2860409034 Enrollment ID: I20060314000432 |
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