Lynn Norine Wiley, | |
205 W Park Ave Ste 103, Champaign, IL 61820-7888 | |
(855) 284-7483 | |
(617) 807-0958 |
Full Name | Lynn Norine Wiley |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 205 W Park Ave Ste 103, 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 |
---|---|---|---|
1225736283 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149024773 (Illinois) | Primary |
Entity Name | Thriveworks Clinical - Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164190633 PECOS PAC ID: 6800263823 Enrollment ID: O20221104000575 |
Mailing Address | Practice Location Address |
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Lynn Norine Wiley, Po Box 748465, Atlanta, GA 30374-8465 Ph: (855) 284-7483 | Lynn Norine Wiley, 205 W Park Ave Ste 103, Champaign, IL 61820-7888 Ph: (855) 284-7483 |
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 |