Jessica L Mcclellan, LCSW | |
1204 E Oak St Ste 2-2, Mahomet, IL 61853-2795 | |
(217) 530-5608 | |
Not Available |
Full Name | Jessica L Mcclellan |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1204 E Oak St Ste 2-2, Mahomet, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487209359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.021411 (Illinois) | Primary |
Entity Name | Keri Powell Therapy Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174751663 PECOS PAC ID: 9638335532 Enrollment ID: O20120720000534 |
Entity Name | Grit And Grace Therapy Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013666015 PECOS PAC ID: 2062889371 Enrollment ID: O20221028002667 |
Mailing Address | Practice Location Address |
---|---|
Jessica L Mcclellan, LCSW 1204 E Oak St Ste 2-2, Mahomet, IL 61853-2795 Ph: (217) 530-5608 | Jessica L Mcclellan, LCSW 1204 E Oak St Ste 2-2, Mahomet, IL 61853-2795 Ph: (217) 530-5608 |
Dawn Marie Taylor, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1204 E Oak St Ste 2-2, Mahomet, IL 61853 Phone: 217-530-5608 Fax: 309-981-8714 | |
Christopher Dring Difilippo, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1205 Riverside Ct, Mahomet, IL 61853 Phone: 217-369-9183 | |
Tessa Valeu, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1204 E Oak St Ste 2-2, Mahomet, IL 61853 Phone: 217-530-5608 Fax: 309-981-8714 | |
Rebecca Richards, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2659 County Road 350 E, Mahomet, IL 61853 Phone: 217-372-4157 | |
Miranda L Perrero, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1008 Timber Dr, Mahomet, IL 61853 Phone: 309-337-1318 | |
Matthew Carter, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1204 E Oak St Ste 2-2, Mahomet, IL 61853 Phone: 217-530-5608 Fax: 309-981-8714 |