Debra Crockett
Debra Crockett is a Clinical Social Worker in South Holland, Illinois. Qualified in 2012, 14 years ago. Practices with Chicago Christian Counseling Center Inc, a 19-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 14
- Licensed in
- IL
- In the registry since
- 2017
Practice location Address checks out
16107 La Salle StSouth Holland, IL 60473-2064
Phone: (800) 361-6880
Fax: (708) 845-5505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 150102144 (IL) |
|---|
Record details
| NPI number | 1538698071 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 8, 2017 |
| Last updated in NPPES | June 8, 2017 |
| Mailing address | 15127 S 73rd Ave Ste G, Orland Park, IL 60462-3425 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Chicago Christian Counseling Center Inc — 19 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in South Holland
-
Alisha Lewis, LSW
18 E 156th St, South Holland, IL 60473-1309 · (708) 733-4825
-
Lakichay Nadira Muhammad
15044 Perry Ave, South Holland, IL 60473-1083 · (708) 699-1073
-
Dr. Andrea I Washington
401 E 162nd St Ste 103, South Holland, IL 60473-2237 · (773) 819-5504
-
MS. Michelle Antoinette Wright- Sturgess
16725 S Park Ave, South Holland, IL 60473-2960 · (773) 968-9008