Ms Dabney Parker Stack, LCSW | |
201 S 14th St, Herrin, IL 62948-3631 | |
(618) 942-2171 | |
(618) 351-4917 |
Full Name | Ms Dabney Parker Stack |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 201 S 14th St, Herrin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518903004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149018994 (Illinois) | Primary |
Entity Name | Harrisburg Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396878658 PECOS PAC ID: 9638083884 Enrollment ID: O20031113000179 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
---|---|
Ms Dabney Parker Stack, LCSW Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Ms Dabney Parker Stack, LCSW 201 S 14th St, Herrin, IL 62948-3631 Ph: (618) 942-2171 |
Kristin Francis, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 405 Rushing Dr, Herrin, IL 62948 Phone: 618-993-3300 Fax: 618-993-0262 | |
Ms. Lisa Renee Melton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 412 S 14th St, Herrin, IL 62948 Phone: 618-967-1790 Fax: 618-351-4948 | |
Lenora Ann Levin, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 405 Rushing Dr, Herrin, IL 62948 Phone: 618-993-3300 Fax: 618-993-0262 | |
David E Matthews, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Lou Ann Dr, Herrin, IL 62948 Phone: 618-988-1330 Fax: 618-988-8321 | |
Robyn S Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Lou Ann Dr, Herrin, IL 62948 Phone: 618-988-1330 | |
Cortney Dawn Meyer, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 201 South 14th Street, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4917 | |
Colleen D. Schloemann, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2001 W Herrin St, Herrin, IL 62948 Phone: 618-988-8267 |