| Kevin Daniel Mulloy, | |
|
108 W Market St, Bloomington, IL 61701-3918 | |
| (309) 827-5351 | |
| (309) 829-6808 |
| Full Name | Kevin Daniel Mulloy |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 108 W Market St, Bloomington, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134224777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Daniel Mulloy, 327 Glenn Ave, Unit #a, Normal, IL 61761-3648 Ph: (309) 840-2066 | Kevin Daniel Mulloy, 108 W Market St, Bloomington, IL 61701-3918 Ph: (309) 827-5351 |
Hannah Deterding, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 | |
Sara Fidlow, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1003 Martin Luther King Dr, Bloomington, IL 61701 Phone: 309-827-6026 | |
Daniela Michelle Van Pelt, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 888-924-3786 Fax: 309-820-3574 | |
Jaylene Taubert, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 712 E Empire St Ste 1, Bloomington, IL 61701 Phone: 309-310-2841 | |
Zoe Jane Baker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 N Williamsburg Dr Ste A, Bloomington, IL 61704 Phone: 309-807-5077 | |
Ms. Johanna Rayman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 200 W Monroe St, Suite 301, Bloomington, IL 61701 Phone: 309-310-5453 | |
Danielle D Beasley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808 |