| Brittany Perrotta Tillman, MSW,LCSW | |
|
2311 S Illinois Ave, Carbondale, IL 62903-5912 | |
| (618) 457-6703 | |
| (618) 549-3734 |
| Full Name | Brittany Perrotta Tillman |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2311 S Illinois Ave, Carbondale, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265079057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.025464 (Illinois) | Primary |
| Entity Name | Centerstone Of Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053455667 PECOS PAC ID: 2961545173 Enrollment ID: O20100209000763 |
| Mailing Address | Practice Location Address |
|---|---|
| Brittany Perrotta Tillman, MSW,LCSW 902 W Main St, West Frankfort, IL 62896-2210 Ph: (618) 937-6483 | Brittany Perrotta Tillman, MSW,LCSW 2311 S Illinois Ave, Carbondale, IL 62903-5912 Ph: (618) 457-6703 |
Mary L Nash-pyott, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2311 S Illinois Ave, Carbondale, IL 62903 Phone: 618-457-6703 Fax: 618-549-3734 | |
Rachel M Miller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 305 W Jackson St Ste 200, Carbondale, IL 62901 Phone: 618-536-6621 Fax: 618-453-1102 | |
Ashley R Hickam, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 S Wall St, Carbondale, IL 62901 Phone: 618-924-0845 | |
Jodie Kennedy, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3412 S Illinois Ave, Carbondale, IL 62903 Phone: 618-327-1304 Fax: 618-457-8844 | |
Matthew Wilson-leigh, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2311 S Illinois Ave, Carbondale, IL 62903 Phone: 618-457-6703 Fax: 618-549-3734 | |
Carrie Lynn Vine, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 View Valley Dr, Carbondale, IL 62903 Phone: 915-217-8288 | |
Shelby Jo Seegers-schafer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 804 W Main St, Carbondale, IL 62901 Phone: 618-351-1279 Fax: 618-351-6369 |