Mrs Jessie Rosanne Smith, LCSW | |
3778 N Meridian Rd, Olney, IL 62450-4815 | |
(618) 839-4871 | |
Not Available |
Full Name | Mrs Jessie Rosanne Smith |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3778 N Meridian Rd, Olney, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063766830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.013667 (Illinois) | Primary |
Entity Name | County Of Clay |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811946411 PECOS PAC ID: 0042101982 Enrollment ID: O20040322000969 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jessie Rosanne Smith, LCSW 3778 N Meridian Rd, Olney, IL 62450-4815 Ph: (618) 839-4871 | Mrs Jessie Rosanne Smith, LCSW 3778 N Meridian Rd, Olney, IL 62450-4815 Ph: (618) 839-4871 |
Kathleen Carey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 421 S Elliott St, Olney, IL 62450 Phone: 618-839-4575 | |
Cynthia Louise Kieffer, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 727 E Elm St, Olney, IL 62450 Phone: 618-783-7529 | |
Mrs. Erin Nicole Taylor, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 302 S Kitchell Ave Ste B, Olney, IL 62450 Phone: 618-354-0878 | |
Arlene O Tippy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 S West St, Suite 103, Olney, IL 62450 Phone: 618-302-1064 | |
Audra Sue Thompson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4362 E Michael Ln, Olney, IL 62450 Phone: 618-302-1291 | |
Margaret R King, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 905 E Main St, Olney, IL 62450 Phone: 618-393-7732 Fax: 618-395-3123 |