Jack Richey, LCSW | |
311 W.fairchild Street, Psychiatry/psychology, Danville, IL 61832 | |
(217) 431-7898 | |
(217) 431-7634 |
Full Name | Jack Richey |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 311 W.fairchild Street, 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 |
---|---|---|---|
1225121510 | NPI | - | NPPES |
0533210001 | Other | DMERC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149004431 (Illinois) | Primary |
Entity Name | Hoopeston Community Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366480873 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
Mailing Address | Practice Location Address |
---|---|
Jack Richey, LCSW 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6792 | Jack Richey, LCSW 311 W.fairchild Street, Psychiatry/psychology, Danville, IL 61832 Ph: (217) 431-7898 |
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 |