Ms Judith Kay Lee, LCSW | |
1361 W Fremont St, Knox County Health Department, Galesburg, IL 61401-2436 | |
(309) 344-2225 | |
Not Available |
Full Name | Ms Judith Kay Lee |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1361 W Fremont St, Galesburg, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114085529 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.014791 (Illinois) | Primary |
1041C0700X | Social Worker - Clinical | 007890 (Iowa) | Secondary |
Entity Name | Ponderosa Family Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144535626 PECOS PAC ID: 1456548015 Enrollment ID: O20101208000388 |
Mailing Address | Practice Location Address |
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Ms Judith Kay Lee, LCSW 2574 Costa Drive, Galesburg, IL 61401 Ph: (309) 351-3599 | Ms Judith Kay Lee, LCSW 1361 W Fremont St, Knox County Health Department, Galesburg, IL 61401-2436 Ph: (309) 344-2225 |
Andrea Rose Quinn, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 834 North Seminary Street, Suite 405, Galesburg, IL 61401 Phone: 309-344-9444 Fax: 309-717-0124 | |
Mr. Samuel Cohen, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 663 S Academy St, Galesburg, IL 61401 Phone: 847-691-1779 | |
Kristen Elizabeth Cree, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4368 | |
Courtney Nolen, LCSW, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1145 Frank St, Galesburg, IL 61401 Phone: 954-377-2939 | |
Jennifer Ann Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 | |
Reina Lee Reyes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1361 W Fremont St, Galesburg, IL 61401 Phone: 309-230-7121 |