| The Lodestone Center For Behavioral Health, Pc | |
|
111 Dean St Woodstock IL 60098-3220 | |
| (815) 344-5061 | |
| Not Available |
| Full Name | The Lodestone Center For Behavioral Health, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 111 Dean St, Woodstock, Illinois |
| Authorized Official Name and Position | Jeremy T Bidwell (DIRECTOR) |
| Authorized Official Contact | 8153445961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lodestone Center For Behavioral Health, Pc 111 Dean St Woodstock IL 60098-3220 Ph: (847) 802-4058 | The Lodestone Center For Behavioral Health, Pc 111 Dean St Woodstock IL 60098-3220 Ph: (815) 344-5061 |
| NPI Number | 1619448222 |
|---|---|
| Provider Enumeration Date | 12/07/2018 |
| Last Update Date | 04/30/2019 |
| Medicare PECOS PAC ID | 6709128317 |
|---|---|
| Medicare Enrollment ID | O20190501001853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619448222 | NPI | - | NPPES |
| Provider Name | Jennifer A Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083873129 PECOS PAC ID: 9739239146 Enrollment ID: I20090605000220 |
| Provider Name | Jeremy T Bidwell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609108703 PECOS PAC ID: 3779609086 Enrollment ID: I20100923001297 |
| Provider Name | Michelle A Bidwell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629309877 PECOS PAC ID: 6901083492 Enrollment ID: I20110609000650 |
| Provider Name | Matthew R Ross |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649551151 PECOS PAC ID: 9830344852 Enrollment ID: I20130223000101 |
| Provider Name | Theresa M Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013176155 PECOS PAC ID: 9638301302 Enrollment ID: I20140410002127 |
| Provider Name | Pamela Mcquaid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891904504 PECOS PAC ID: 3072746197 Enrollment ID: I20140425000640 |
| Provider Name | Desiree Cherie Hawley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285003921 PECOS PAC ID: 9739497892 Enrollment ID: I20151009000889 |
| Provider Name | Erica D Drzonek Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063729911 PECOS PAC ID: 7810129582 Enrollment ID: I20160429001095 |
| Provider Name | Valerie Rosenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033572649 PECOS PAC ID: 4385943018 Enrollment ID: I20160503000005 |
| Provider Name | Lisa Manhart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588022867 PECOS PAC ID: 7618267493 Enrollment ID: I20160607001473 |
| Provider Name | Erin B Marek Krawczyk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912166059 PECOS PAC ID: 1153617154 Enrollment ID: I20160830002816 |
| Provider Name | Daniel Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730348871 PECOS PAC ID: 7810283140 Enrollment ID: I20160912002450 |
| Provider Name | Julie A Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689015992 PECOS PAC ID: 5799049896 Enrollment ID: I20180425001567 |
| Provider Name | Sarah Kroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831635861 PECOS PAC ID: 5597029876 Enrollment ID: I20180515000016 |
| Provider Name | Jessica M Fino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427519156 PECOS PAC ID: 4789010067 Enrollment ID: I20200205000128 |
| Provider Name | Kimberly Tiscia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497343123 PECOS PAC ID: 8123429206 Enrollment ID: I20210628000167 |
| Provider Name | Emily Kearney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649833641 PECOS PAC ID: 7719382480 Enrollment ID: I20210818000793 |
| Provider Name | Kimberly Loucks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447722129 PECOS PAC ID: 5890188908 Enrollment ID: I20220214002152 |
| Provider Name | Jordan Cart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982189700 PECOS PAC ID: 5991183527 Enrollment ID: I20220609001498 |
| Provider Name | Samantha Kurkjian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104557677 PECOS PAC ID: 2365825593 Enrollment ID: I20220819001812 |
| Provider Name | Krystyna Wojtowicz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174163976 PECOS PAC ID: 5193161214 Enrollment ID: I20240312002210 |
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