Mary M Bragg, LCSW | |
309 W Clark St, Champaign, IL 61820-4637 | |
(217) 398-9066 | |
(217) 398-9077 |
Full Name | Mary M Bragg |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 31 Years |
Location | 309 W Clark St, Champaign, 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 |
---|---|---|---|
1245822063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kevin Elliott Counseling Inc. | 0143226860 | 12 |
Entity Name | Kevin Elliott Counseling Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255357422 PECOS PAC ID: 0143226860 Enrollment ID: O20061019000433 |
Mailing Address | Practice Location Address |
---|---|
Mary M Bragg, LCSW 309 W Clark St, Champaign, IL 61820-4637 Ph: (217) 398-9066 | Mary M Bragg, LCSW 309 W Clark St, Champaign, IL 61820-4637 Ph: (217) 398-9066 |
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 |