Ms Carrie Caroline Crocker, MSW, LCSW | |
2020 Broadway St, Suite D, Mount Vernon, IL 62864-2973 | |
(314) 719-6263 | |
Not Available |
Full Name | Ms Carrie Caroline Crocker |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 21 Years |
Location | 2020 Broadway St, Mount Vernon, 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 |
---|---|---|---|
1972657187 | NPI | - | NPPES |
497312108 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2003032196 (Missouri) | Primary |
1041C0700X | Social Worker - Clinical | 149016386 (Illinois) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dynamic Counseling And Consultation Services | 6709186703 | 2 |
Entity Name | Dynamic Counseling And Consultation Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457771677 PECOS PAC ID: 6709186703 Enrollment ID: O20151124000258 |
Mailing Address | Practice Location Address |
---|---|
Ms Carrie Caroline Crocker, MSW, LCSW 1136 N Desloge Dr, Suite B, Desloge, MO 63601-2937 Ph: (314) 627-0313 | Ms Carrie Caroline Crocker, MSW, LCSW 2020 Broadway St, Suite D, Mount Vernon, IL 62864-2973 Ph: (314) 719-6263 |
Mr. Curtis William Boehne, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Doctors Park Rd, Suite G, Mount Vernon, IL 62864 Phone: 618-246-2910 Fax: 618-246-2912 | |
Mrs. Kristina Michelle Zettler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 N 27th St, Mount Vernon, IL 62864 Phone: 618-242-5614 | |
Celeste Robinson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 107 Shiloh Dr, Mount Vernon, IL 62864 Phone: 618-242-6944 | |
Stacie Lynn Carr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1304 Plum Ave, Mount Vernon, IL 62864 Phone: 618-335-7364 | |
Mrs. Darla B Wexstten, MSW, LCSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4230 Lincolnshire Dr, Suite E, Mount Vernon, IL 62864 Phone: 618-242-4205 Fax: 618-242-4209 | |
Scott Murray, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 310 Main St, Mount Vernon, IL 62864 Phone: 618-244-0212 Fax: 618-244-0535 | |
Mrs. Lindsey Marie Adams Greenwalt, M.S.W. L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3600 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-244-0212 Fax: 618-244-0535 |