Dana Shantel Taylor, LCSW | |
303 Nw 11th St, Fairfield, IL 62837-1206 | |
(618) 847-8362 | |
Not Available |
Full Name | Dana Shantel Taylor |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 303 Nw 11th St, Fairfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093345167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149-012230 (Illinois) | Primary |
Entity Name | Fairfield Memorial Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649442419 PECOS PAC ID: 5698671741 Enrollment ID: O20041124000368 |
Mailing Address | Practice Location Address |
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Dana Shantel Taylor, LCSW 303 Nw 11th St, Fairfield, IL 62837-1206 Ph: (618) 847-8362 | Dana Shantel Taylor, LCSW 303 Nw 11th St, Fairfield, IL 62837-1206 Ph: (618) 847-8362 |
Rebecca August, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1936 County Road 690 N, Fairfield, IL 62837 Phone: 618-516-3710 | |
Lauren Griswold, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 213 Nw 10th St Ste A, Fairfield, IL 62837 Phone: 618-842-4617 | |
Jill L Barnfield, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 114 Andrews Dr, Fairfield, IL 62837 Phone: 312-841-7674 Fax: 618-270-0524 |