Jolene F Watson, LCSW | |
1900 E Main St, Sws/122, Danville, IL 61832-5100 | |
(217) 554-3672 | |
(217) 554-4815 |
Full Name | Jolene F Watson |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1900 E Main St, Danville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700182466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149015249 (Illinois) | Primary |
Entity Name | Vitae Health Of Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
Entity Name | Eaves Health Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639847551 PECOS PAC ID: 2466844220 Enrollment ID: O20220128000341 |
Mailing Address | Practice Location Address |
---|---|
Jolene F Watson, LCSW 1900 E Main St, Sws/122, Danville, IL 61832-5100 Ph: (217) 554-3672 | Jolene F Watson, LCSW 1900 E Main St, Sws/122, Danville, IL 61832-5100 Ph: (217) 554-3672 |
Selahattin Gokturk, M.A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-3000 | |
Ms. Elissa Jo Fortna, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-5133 | |
Ms. Christina Rita Melikyan, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-3000 Fax: 217-554-4813 | |
Mr. Andrew Le Nguyen, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-3000 Fax: 217-554-4816 | |
Ms. Sarah Ellen Nixon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-5527 Fax: 217-554-4813 | |
Ms. Lisa Anne Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 Avenue C, Danville, IL 61832 Phone: 217-442-3200 Fax: 217-442-7460 | |
Mr. Thomas Dale Clay, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Building 116, 162a, Danville, IL 61832 Phone: 217-554-3000 |