Ms Diane Michelle Zimmerman, LCSW | |
1106 N 20th St, Quincy, IL 62301-2006 | |
(217) 779-0339 | |
Not Available |
Full Name | Ms Diane Michelle Zimmerman |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1106 N 20th St, Quincy, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356053045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | BBH-LCSW-LIC-58059 (Montana) | Primary |
Entity Name | Preferred Family Healthcare, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649474206 PECOS PAC ID: 0244256246 Enrollment ID: O20051019000599 |
Mailing Address | Practice Location Address |
---|---|
Ms Diane Michelle Zimmerman, LCSW 1106 N 20th St, Quincy, IL 62301-2006 Ph: (217) 779-0339 | Ms Diane Michelle Zimmerman, LCSW 1106 N 20th St, Quincy, IL 62301-2006 Ph: (217) 779-0339 |
Brook Audra Linenfelser, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 | |
Eric E. Schultz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-224-4453 Fax: 217-224-9383 | |
Alan Richard Obert, MSW, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 4409 Maine St, Quincy, IL 62305 Phone: 217-223-0423 Fax: 217-223-0461 | |
Ashley Monita Smith, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-224-4453 Fax: 217-224-9383 | |
Sandy Helen Moss, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 816 Long Dr, Quincy, IL 62305 Phone: 217-577-4656 | |
Katherine Thomure, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-277-5583 | |
Claudia Lasys, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1415 Vermont St, Quincy, IL 62301 Phone: 217-224-4453 Fax: 217-224-9383 |