Mrs Michelle Lynn Locke, LCSW | |
26794 E Monterey Rd, Canton, IL 61520-8619 | |
(309) 645-3078 | |
Not Available |
Full Name | Mrs Michelle Lynn Locke |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 26794 E Monterey Rd, Canton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881350049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.018164 (Illinois) | Primary |
Entity Name | Graham Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20040510000873 |
Mailing Address | Practice Location Address |
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Mrs Michelle Lynn Locke, LCSW 26794 E Monterey Rd, Canton, IL 61520-8619 Ph: (309) 645-3078 | Mrs Michelle Lynn Locke, LCSW 26794 E Monterey Rd, Canton, IL 61520-8619 Ph: (309) 645-3078 |
Kara Dean Simpson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 229 Martin Ave, Canton, IL 61520 Phone: 309-647-1881 | |
Mrs. Jessica Gail Schoon, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 65 Magrabl Dr, Canton, IL 61520 Phone: 309-231-3016 | |
Amber Gregory, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 105 E Cedar St, Canton, IL 61520 Phone: 618-571-4593 | |
Erin Watson, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 103 S Main St, Canton, IL 61520 Phone: 309-649-6813 | |
Miss Laticia M Georgie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 229 Martin Ave, Canton, IL 61520 Phone: 309-647-1881 | |
Mrs. Andrea Lee White, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 175 S Main St, Canton, IL 61520 Phone: 309-649-6813 Fax: 309-649-6814 | |
Karen Hahn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-648-0782 Fax: 309-620-8237 |