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NPI Code Detail

MEDICARE: MCO COUNSELING SERVICES LLC

MEDICARE: MCO COUNSELING SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1992650956
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCO COUNSELING SERVICES LLC
Provider Business Mailing Address
First Line : 210 S GARDINER AVE
Second Line :
City : ROCKFORD
State : IL
Zip : 61104-2410
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6735 VISTAGREEN WAY STE 200
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-5654
Country : US
Telephone Number : 815-391-3055
Fax Number :
Authorized Official
Title or Position : LCSW
Name : MEGAN OLEJNIK
Credential :
Telephone Number : 815-670-7965
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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