Jennifer K Coley, | |
710 N 8th St, Springfield, IL 62702-6324 | |
(217) 525-1064 | |
(217) 525-1651 |
Full Name | Jennifer K Coley |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 710 N 8th St, Springfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740973239 | NPI | - | NPPES |
149.025558 | Other | IL | LCSW LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.025558 (Illinois) | Primary |
Entity Name | Mental Health Centers Of Central Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225008113 PECOS PAC ID: 8325940521 Enrollment ID: O20040127000030 |
Entity Name | Mental Health Centers Of Central Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225008113 PECOS PAC ID: 8325940521 Enrollment ID: O20041222000489 |
Mailing Address | Practice Location Address |
---|---|
Jennifer K Coley, 710 N 8th St, Springfield, IL 62702-6324 Ph: (217) 525-1064 | Jennifer K Coley, 710 N 8th St, Springfield, IL 62702-6324 Ph: (217) 525-1064 |
Sophie R Horner, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1220 S 7th St, Springfield, IL 62703 Phone: 217-679-5379 Fax: 217-679-5349 | |
Mrs. Amanda B Henson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1020 S 5th St, Springfield, IL 62703 Phone: 217-544-3143 | |
Mrs. Jami Lynn Jamieson, L.C.S.W. Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 215 S Grand Ave West, Springfield, IL 62704 Phone: 217-744-3525 Fax: 217-744-3535 | |
Christina Margaret White, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 224 Springcreek Dr, Springfield, IL 62702 Phone: 217-801-3990 | |
Mr. David Stanley Brown, M.A.., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2325 W White Oaks Dr, Springfield, IL 62704 Phone: 217-793-3949 Fax: 217-793-3995 | |
Ms. Bernetta A Andrewin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711 Phone: 217-717-4733 Fax: 217-679-5981 | |
Stacy Renee Lee, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St Ste 1100, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-4735 |