Kye Thomas Ewing, LCSW | |
206 N Randolph St Ste 432, Champaign, IL 61820-3978 | |
(217) 637-0502 | |
Not Available |
Full Name | Kye Thomas Ewing |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 206 N Randolph St Ste 432, Champaign, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255071213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.024369 (Illinois) | Primary |
Entity Name | Champaign Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770938359 PECOS PAC ID: 9335429232 Enrollment ID: O20161212001745 |
Mailing Address | Practice Location Address |
---|---|
Kye Thomas Ewing, LCSW 904 S Wabash Ave, Urbana, IL 61801-5214 Ph: (217) 637-0502 | Kye Thomas Ewing, LCSW 206 N Randolph St Ste 432, Champaign, IL 61820-3978 Ph: (217) 637-0502 |
Ms. Lisa Diane Barkstall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1801 Fox Dr, Champaign, IL 61820 Phone: 217-398-8080 | |
Ms. Jennifer Mcnair, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2503 Jordan Dr, Champaign, IL 61822 Phone: 224-688-8577 Fax: 217-600-7158 | |
Kevin Joseph Elliott, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1807 S Neil St, Champaign, IL 61820 Phone: 815-878-5078 | |
Mary Derbish, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 W University Ave Ste 202-203, Champaign, IL 61820 Phone: 224-232-8057 | |
Macey Lyn Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 N Chestnut St Ste 225, Champaign, IL 61820 Phone: 217-202-9506 Fax: 217-355-1255 | |
Erica Kay Tonn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4006 Pinecrest Dr, Champaign, IL 61822 Phone: 217-552-7964 | |
Rose St Clair, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 Devonshire Dr Ste D-2b, Champaign, IL 61820 Phone: 312-854-9661 |