MS. Deborah A Vanderwall
MS. Deborah A Vanderwall is a Clinical Social Worker in Ingleside, Illinois. Qualified in 2020, 6 years ago. Practices with Counseling Center of Grayslake Ltd, a 12-clinician group and accepts Medicare assignment.
- Years since qualifying
- 6
- In the registry since
- 2018
Practice location Address checks out
26211 W Boesch PlIngleside, IL 60041-9775
Phone: (847) 344-4606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assistant Behavior Analyst (primary) | Taxonomy 106E00000X |
|---|
Record details
| NPI number | 1437645835 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 9, 2018 |
| Last updated in NPPES | July 9, 2018 |
| Mailing address | 26211 W Boesch Pl, Ingleside, IL 60041-9775 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Counseling Center Of Grayslake Ltd — 12 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |