| Senter Social Services Llc | |
|
3612 Lincoln Hwy Suite # 4 Olympia Fields IL 60461-1627 | |
| (708) 203-9445 | |
| Not Available |
| Full Name | Senter Social Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3612 Lincoln Hwy, Olympia Fields, Illinois |
| Authorized Official Name and Position | Connie Jean Senter (SOCIAL WORKER) |
| Authorized Official Contact | 7082039445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senter Social Services Llc 3612 West Lincoln Highway Suite # 4 Olympia Fields IL 60461 Ph: (708) 203-9445 | Senter Social Services Llc 3612 Lincoln Hwy Suite # 4 Olympia Fields IL 60461-1627 Ph: (708) 203-9445 |
| NPI Number | 1962807354 |
|---|---|
| Provider Enumeration Date | 10/28/2014 |
| Last Update Date | 10/28/2014 |
| Medicare PECOS PAC ID | 4688992936 |
|---|---|
| Medicare Enrollment ID | O20150416001058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962807354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149002957 (Illinois) | Primary |
| Provider Name | Connie J Senter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164848438 PECOS PAC ID: 2567780810 Enrollment ID: I20150416001188 |
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