Mr Charles Russell Kerwin, LCSW, CADC - Clinical Social Worker in Decatur, IL

Mr Charles Russell Kerwin, LCSW, CADC is a Social Worker - Clinical based in Decatur, Illinois. Mr Charles Russell Kerwin is licensed to practice in Illinois (license number 149.014464) and his current practice location is 1770 Elake Shore Dr, Decatur, Illinois. He can be reached at his office (for appointments etc.) via phone at (217) 428-1900.

NPI number for Mr Charles Russell Kerwin is 1063706497 and his current mailing address is 1770 East Lake Shore Dr, Decatur, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063706497.

Contact Information

Mr Charles Russell Kerwin, LCSW, CADC
1770 Elake Shore Dr,
Decatur, IL 62521-3832
(217) 428-1900
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Charles Russell Kerwin
GenderMale
SpecialitySocial Worker - Clinical
Location1770 Elake Shore Dr, Decatur, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063706497
  • Provider Enumeration Date: 06/02/2011
  • Last Update Date: 06/02/2011

Medical Identifiers

Medical identifiers for Mr Charles Russell Kerwin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063706497NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 149.014464 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Charles Russell Kerwin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Charles Russell Kerwin, LCSW, CADC
1770 East Lake Shore Dr,
Decatur, IL 62521

Ph: (217) 428-1900
Mr Charles Russell Kerwin, LCSW, CADC
1770 Elake Shore Dr,
Decatur, IL 62521-3832

Ph: (217) 428-1900

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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