Amber Gregory, LCSW | |
105 E Cedar St, Canton, IL 61520-3470 | |
(618) 571-4593 | |
Not Available |
Full Name | Amber Gregory |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 105 E Cedar St, Canton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346696325 | NPI | - | NPPES |
376130900001 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.019251 (Illinois) | Primary |
Entity Name | Grow Healthcare Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
Mailing Address | Practice Location Address |
---|---|
Amber Gregory, LCSW 1016 S Madison St, Du Quoin, IL 62832-2442 Ph: () - | Amber Gregory, LCSW 105 E Cedar St, Canton, IL 61520-3470 Ph: (618) 571-4593 |
Kara Dean Simpson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 229 Martin Ave, Canton, IL 61520 Phone: 309-647-1881 | |
Mrs. Jessica Gail Schoon, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 65 Magrabl Dr, Canton, IL 61520 Phone: 309-231-3016 | |
Erin Watson, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 103 S Main St, Canton, IL 61520 Phone: 309-649-6813 | |
Miss Laticia M Georgie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 229 Martin Ave, Canton, IL 61520 Phone: 309-647-1881 | |
Mrs. Andrea Lee White, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 175 S Main St, Canton, IL 61520 Phone: 309-649-6813 Fax: 309-649-6814 | |
Karen Hahn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-648-0782 Fax: 309-620-8237 |