Jill E Wolk, LCSW | |
1085 Maple St, Farmington, MO 63640-1955 | |
(573) 747-2447 | |
(573) 756-4557 |
Full Name | Jill E Wolk |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1085 Maple St, Farmington, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588725337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW004828 (Missouri) | Primary |
Entity Name | Great Mines Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376536953 PECOS PAC ID: 3072598143 Enrollment ID: O20041004000035 |
Mailing Address | Practice Location Address |
---|---|
Jill E Wolk, LCSW 1430 Olive St, Suite 400, Saint Louis, MO 63103-2303 Ph: (314) 206-3700 | Jill E Wolk, LCSW 1085 Maple St, Farmington, MO 63640-1955 Ph: (573) 747-2447 |
Mrs. Wenona H Mickan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-747-2438 | |
Mrs. Julie Ann Downs, MSW/LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 118 West Pine Plaza, Farmington, MO 63640 Phone: 573-701-0330 Fax: 573-701-0330 | |
Deborah Lynn Bonham, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1269 Doctors Dr, Farmington, MO 63640 Phone: 573-664-1146 Fax: 573-664-1149 | |
Rachael Christine Holloway, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-756-5353 | |
William Jeffrey Jones, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-756-5353 | |
Misty Dawn Fowler, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-366-4659 | |
Mrs. Melissa L. Black, MSW/LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 118 West Pine Plaza, Farmington, MO 63640 Phone: 573-701-0330 Fax: 573-701-0330 |