| Ms Diane Marie Gorman I, LCSW | |
|
2504 Washington St, Waukegan, IL 60085-4983 | |
| (847) 692-6495 | |
| Not Available |
| Full Name | Ms Diane Marie Gorman I |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 39 Years |
| Location | 2504 Washington St, Waukegan, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093985848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Josselyn Center Nfp | 0840289740 | 64 |
| Entity Name | The Josselyn Center Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073548640 PECOS PAC ID: 0840289740 Enrollment ID: O20050525000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Diane Marie Gorman I, LCSW 57 Summit Ave, Park Ridge, IL 60068-4103 Ph: (847) 692-6495 | Ms Diane Marie Gorman I, LCSW 2504 Washington St, Waukegan, IL 60085-4983 Ph: (847) 692-6495 |
Orly Avidor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085 Phone: 847-377-8440 | |
Katrina Haywood, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8296 Fax: 847-984-5689 | |
Mrs. Kathryn Nixon Foster, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 329 N Genesee St, Waukegan, IL 60085 Phone: 847-623-1730 Fax: 847-623-1733 | |
Tara Sheppard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 415 Washington St Ste 216s, Waukegan, IL 60085 Phone: 773-991-3983 | |
Jacqueline Marolt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3101 E Newcastle Ct, Waukegan, IL 60087 Phone: 262-891-2682 | |
Mrs. Michele L Esser, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8971 Fax: 847-984-5602 | |
Mr. Eugene Carroll Marceron Jr., LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2025 Washington St, Waukegan, IL 60085 Phone: 847-360-1020 Fax: 847-360-1065 |