Kendra J Cole, LCSW | |
700 W Lincoln Ave Ste 200, Charleston, IL 61920-2468 | |
(217) 238-4042 | |
(217) 238-4053 |
Full Name | Kendra J Cole |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 32 Years |
Location | 700 W Lincoln Ave Ste 200, Charleston, 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 |
---|---|---|---|
1548352248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149-007401 (Illinois) | Primary |
104100000X | Social Worker | 149007401 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sarah Bush Lincoln Health Center | 5092614867 | 327 |
Entity Name | Sarah Bush Lincoln Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
Mailing Address | Practice Location Address |
---|---|
Kendra J Cole, LCSW Po Box 372, Mattoon, IL 61938-0372 Ph: (217) 258-2581 | Kendra J Cole, LCSW 700 W Lincoln Ave Ste 200, Charleston, IL 61920-2468 Ph: (217) 238-4042 |
Sage Zora Rowley, MSW, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 735 18th St, Charleston, IL 61920 Phone: 217-508-8080 Fax: 217-512-2288 | |
Erica Levin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1021 W Hayes Ave, Charleston, IL 61920 Phone: 815-587-5370 | |
Sarah L Malak, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 722 Glenwood Dr, Charleston, IL 61920 Phone: 217-549-3741 |