Benjamin Mullineaux, LCSW | |
10126 Clearwing Ln, Roscoe, IL 61073-5613 | |
(618) 203-2927 | |
Not Available |
Full Name | Benjamin Mullineaux |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 10126 Clearwing Ln, Roscoe, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164925848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Kathleen E Cox Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821360181 PECOS PAC ID: 3173962339 Enrollment ID: O20240419003186 |
Mailing Address | Practice Location Address |
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Benjamin Mullineaux, LCSW 10126 Clearwing Ln, Roscoe, IL 61073-5613 Ph: (618) 203-2927 | Benjamin Mullineaux, LCSW 10126 Clearwing Ln, Roscoe, IL 61073-5613 Ph: (618) 203-2927 |
Andrea Olson, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 5334 Williams Dr, Roscoe, IL 61073 Phone: 815-871-0957 Fax: 866-813-6462 | |
Abagail M Keegan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5290 Williams Dr, Roscoe, IL 61073 Phone: 815-324-0324 Fax: 866-927-3053 | |
Ms. Vicki Elizabeth Marcum, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11447 2nd St, 9b, Roscoe, IL 61073 Phone: 815-997-3225 Fax: 815-965-4732 | |
Kim Marie Donovan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11447 2nd St Ste 9b, Roscoe, IL 61073 Phone: 815-601-4673 | |
Carlina Hart, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11447 2nd St Ste 9a&9b, Roscoe, IL 61073 Phone: 815-601-4673 | |
Maureen M Callahan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11447 2nd St Ste 9b, Roscoe, IL 61073 Phone: 815-601-4673 |