| Brian Charles Radzom, LCSW | |
|
205 S Main St, Edwardsville, IL 62025-1921 | |
| (618) 248-2040 | |
| (618) 248-2040 |
| Full Name | Brian Charles Radzom |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 205 S Main St, Edwardsville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790941300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149012706 (Illinois) | Primary |
| 1041C0700X | Social Worker - Clinical | 2007033648 (Missouri) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Charles Radzom, LCSW Po Box 101, Edwardsville, IL 62025-0101 Ph: (618) 248-2040 | Brian Charles Radzom, LCSW 205 S Main St, Edwardsville, IL 62025-1921 Ph: (618) 248-2040 |
Victoria Cullen, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 40b Edwardsville Prof Park, Edwardsville, IL 62025 Phone: 618-248-2040 Fax: 618-248-2040 | |
Mr. Kevin Reginald Treloar, MSW LCSW DCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1046 Florida St, Edwardsville, IL 62025 Phone: 618-741-4024 Fax: 618-741-4024 | |
Victoria Nicole Magruder, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 N Main St Ste 8, Edwardsville, IL 62025 Phone: 618-706-9103 | |
Mary Jennifer Hanson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Shiloh Dr, Edwardsville, IL 62025 Phone: 618-570-5460 | |
Tamra L Coldren, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103a South Pointe Drive, Edwardsville, IL 62025 Phone: 618-656-2000 Fax: 618-656-1169 | |
Kristin L Krebs, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 103a South Pointe Drive, Edwardsville, IL 62025 Phone: 618-656-2000 Fax: 618-656-1169 | |
Mrs. Carolyn Jean Duvall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26 Tranquility Rdg, Edwardsville, IL 62025 Phone: 618-656-0690 |