Brenda Sullivan-rice, LCSW is a
Social Worker - Clinical based in Elkville, Illinois. Brenda Sullivan-rice is licensed to practice in Illinois (license number 149-006017) and her current practice location is
1102 Maksin Rd, Elkville, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 559-5035.
NPI number for Brenda Sullivan-rice is 1073712626 and her current mailing address is 1102 Maksin Rd, Elkville, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073712626.
Healthcare Provider's Profile
Full Name | Brenda Sullivan-rice |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1102 Maksin Rd, Elkville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073712626
- Provider Enumeration Date: 07/13/2007
- Last Update Date: 10/24/2023
Medical Identifiers
Medical identifiers for Brenda Sullivan-rice such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073712626 | NPI | - | NPPES |
370966854004 | Medicaid | IL | |
640701 | Other | IL | PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149006017 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149-006017 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brenda Sullivan-rice is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Brenda Sullivan-rice, LCSW 1102 Maksin Rd, Elkville, IL 62932-2220 Ph: (618) 559-5035 | Brenda Sullivan-rice, LCSW 1102 Maksin Rd, Elkville, IL 62932-2220 Ph: (618) 559-5035 |
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