Katie Johnson, LCSW | |
2401 W Main St, Marion, IL 62959-1188 | |
(618) 997-5311 | |
Not Available |
Full Name | Katie Johnson |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 16 Years |
Location | 2401 W Main St, Marion, 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 |
---|---|---|---|
1306322110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.018073 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Illinois Medical Services Nfp | 3678677390 | 252 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
---|---|
Katie Johnson, LCSW Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Katie Johnson, LCSW 2401 W Main St, Marion, IL 62959-1188 Ph: (618) 997-5311 |
Mrs. Susan Elaine Shelton, LCSW, DCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Kelsie Woods, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Mr. Jason Matthew Van Sickle, LCSW, MSCS, COR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 Fax: 618-998-5697 | |
Tiffany Todd, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3111 Williamson County Pkwy, Marion, IL 62959 Phone: 618-519-9200 Fax: 618-985-9155 | |
Rocky Ray Peppers Sr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 Fax: 618-998-5677 | |
Adam Lee Coleman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Ms. Faith Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1307 W Main St, Marion, IL 62959 Phone: 618-997-5336 Fax: 618-993-2969 |