| Jacquelyn Melissa Matias, LMSW | |
|
7757 Us Route 136, Potomac, IL 61865-3047 | |
| (217) 488-8006 | |
| Not Available |
| Full Name | Jacquelyn Melissa Matias |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 7757 Us Route 136, Potomac, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447034327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 150107924 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn Melissa Matias, LMSW 7757 Us Route 136, Potomac, IL 61865-3047 Ph: (217) 488-8006 | Jacquelyn Melissa Matias, LMSW 7757 Us Route 136, Potomac, IL 61865-3047 Ph: (217) 488-8006 |
Paige Danielle Rogge, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7757 Us Hwy 136, Potomac, IL 61865 Phone: 217-649-0492 | |
Gabrielle Dawn Rivette Remole, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7757 Us Route 136, Potomac, IL 61865 Phone: 217-799-3570 |