Jody L Poultney, LCSW | |
403 W Virginia Ave, Normal, IL 61761-3666 | |
(309) 268-3669 | |
(309) 268-3649 |
Full Name | Jody L Poultney |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 21 Years |
Location | 403 W Virginia Ave, Normal, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407172554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149013689 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carle West Physician Group Inc | 8921420308 | 283 |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | Carle West Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Mailing Address | Practice Location Address |
---|---|
Jody L Poultney, LCSW 403 W Virginia Ave, Normal, IL 61761-3666 Ph: (309) 268-3669 | Jody L Poultney, LCSW 403 W Virginia Ave, Normal, IL 61761-3666 Ph: (309) 268-3669 |
Laurie Krolikowski, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1306 Stephens Dr, Normal, IL 61761 Phone: 309-532-4572 | |
Mary Ann Pullin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 612 Oglesby Ave, Normal, IL 61761 Phone: 309-557-1124 Fax: 309-454-9257 | |
Ms. Naomi Wilansky, MSS LCSW BCD Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1100 Beech St, Bldg 10, Normal, IL 61761 Phone: 309-825-8818 Fax: 309-452-1265 | |
Cheri Carroll, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 Kays Dr Ste C, Normal, IL 61761 Phone: 309-664-3130 Fax: 309-664-3528 | |
Laura Jennings-mitchell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 705 E Lincoln St, Ste 303, Normal, IL 61761 Phone: 309-451-9495 | |
Teresa Eubanks, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-268-5334 | |
Sarah E Walters, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2958 Benson Ln, Normal, IL 61761 Phone: 815-243-0177 |