Carol Bradford, | |
1222 E Voorhees St, Danville, IL 61834-6249 | |
(217) 477-4500 | |
(217) 443-6613 |
Full Name | Carol Bradford |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1222 E Voorhees St, Danville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275041758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149011786 (Illinois) | Primary |
Entity Name | Rosecrance Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013289446 PECOS PAC ID: 3779656582 Enrollment ID: O20130502000371 |
Mailing Address | Practice Location Address |
---|---|
Carol Bradford, 1021 N Mulford Rd, Rockford, IL 61107-3877 Ph: (815) 387-5600 | Carol Bradford, 1222 E Voorhees St, Danville, IL 61834-6249 Ph: (217) 477-4500 |
Selahattin Gokturk, M.A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-3000 | |
Ms. Elissa Jo Fortna, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-5133 | |
Ms. Christina Rita Melikyan, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-3000 Fax: 217-554-4813 | |
Mr. Andrew Le Nguyen, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-3000 Fax: 217-554-4816 | |
Ms. Sarah Ellen Nixon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-5527 Fax: 217-554-4813 | |
Ms. Lisa Anne Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 Avenue C, Danville, IL 61832 Phone: 217-442-3200 Fax: 217-442-7460 | |
Mr. Thomas Dale Clay, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Building 116, 162a, Danville, IL 61832 Phone: 217-554-3000 |