| Ms Sandra Jo Becker-warden, LCSW | |
|
2014 Vandalia, Collinsville, IL 62234 | |
| (618) 345-9587 | |
| (618) 345-9536 |
| Full Name | Ms Sandra Jo Becker-warden |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 48 Years |
| Location | 2014 Vandalia, Collinsville, 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 |
|---|---|---|---|
| 1205935350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | SW001839 (Missouri) | Secondary |
| 103T00000X | Psychologist | (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Life Consultants Inc | 0840258752 | 2 |
| Entity Name | Family Life Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164532248 PECOS PAC ID: 0840258752 Enrollment ID: O20041223000152 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Sandra Jo Becker-warden, LCSW 2014 Vandalia, Collinsville, IL 62234 Ph: (618) 345-9587 | Ms Sandra Jo Becker-warden, LCSW 2014 Vandalia, Collinsville, IL 62234 Ph: (618) 345-9587 |
Dr. John E Forhetz, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2 Meadow Heights Profesional Park, Collinsville, IL 62234 Phone: 618-344-7105 Fax: 618-344-2516 | |
Dr. Sarah Margaret Broom, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1319 Lexington Dr, Collinsville, IL 62234 Phone: 573-619-3492 | |
Linda Nail Summers, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 115 Briar Rdg, Collinsville, IL 62234 Phone: 618-300-9184 |