Ms Kelly Josette Medlin, LCSW | |
2615 Edwards St, Alton, IL 62002-3915 | |
(618) 462-2331 | |
Not Available |
Full Name | Ms Kelly Josette Medlin |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2615 Edwards St, Alton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083859821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Touchette Regional Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922019926 PECOS PAC ID: 7416843370 Enrollment ID: O20040226000538 |
Mailing Address | Practice Location Address |
---|---|
Ms Kelly Josette Medlin, LCSW 2615 Edwards St, Alton, IL 62002-3915 Ph: (618) 462-2331 | Ms Kelly Josette Medlin, LCSW 2615 Edwards St, Alton, IL 62002-3915 Ph: (618) 462-2331 |
Lea Anne Varble, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 815 E 5th St, Suite 101, Alton, IL 62002 Phone: 618-463-5278 Fax: 618-474-6242 | |
Breauna Nicole Hurd, MSW,LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-2504 | |
Elaina Ward, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-7160 | |
Ms. Meredith Anne Parker, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Memorial Dr, 2nd Floor, Olin Wing, Alton, IL 62002 Phone: 618-463-7523 Fax: 618-463-7896 | |
Ronald Quick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3644 Horn Ave, Alton, IL 62002 Phone: 314-252-8159 | |
Taylor Birch, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-2504 |