Johanna Maria Paulien Williams, LCSW | |
1319 E Wantland Dr, Taylorville, IL 62568-9305 | |
(217) 820-0307 | |
Not Available |
Full Name | Johanna Maria Paulien Williams |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1319 E Wantland Dr, Taylorville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023791852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.024632 (Illinois) | Primary |
Entity Name | Edgewood Clinical Services P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
Mailing Address | Practice Location Address |
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Johanna Maria Paulien Williams, LCSW 1319 E Wantland Dr, Taylorville, IL 62568-9305 Ph: (217) 820-0307 | Johanna Maria Paulien Williams, LCSW 1319 E Wantland Dr, Taylorville, IL 62568-9305 Ph: (217) 820-0307 |
Mrs. Schales Lucille Nagle, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1290 W Wantland Dr, Taylorville, IL 62568 Phone: 217-273-4902 | |
Kelsie A. Tobias, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 600 N Main St, Taylorville, IL 62568 Phone: 217-528-7541 Fax: 217-824-2114 | |
Lauren A. Henton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 N Main St, Taylorville, IL 62568 Phone: 217-528-7541 Fax: 217-824-2114 | |
Barbara A Brauer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 730 North Pawnee, Taylorville, IL 62568 Phone: 217-824-4905 Fax: 217-824-3570 | |
Amanda Dawn Prather, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 N Main St, Taylorville, IL 62568 Phone: 217-528-7541 | |
Ms. Rose Lafferty, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 403 W Main Cross St, Taylorville, IL 62568 Phone: 217-824-6431 Fax: 217-824-6431 |