Ms Mary Elizabeth Garrison, MSW,LCSW, ACSW | |
3040 N University Ave, Suite 2, Decatur, IL 62526-1391 | |
(217) 872-1700 | |
(217) 872-1366 |
Full Name | Ms Mary Elizabeth Garrison |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3040 N University Ave, Decatur, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598073959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.009786 (Illinois) | Primary |
Entity Name | Heritage Behavioral Health Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639231731 PECOS PAC ID: 0547208951 Enrollment ID: O20050418000456 |
Mailing Address | Practice Location Address |
---|---|
Ms Mary Elizabeth Garrison, MSW,LCSW, ACSW 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 Ph: (217) 872-1700 | Ms Mary Elizabeth Garrison, MSW,LCSW, ACSW 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 Ph: (217) 872-1700 |
Mr. Charles Russell Kerwin, LCSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1770 Elake Shore Dr, Decatur, IL 62521 Phone: 217-428-1900 | |
Mrs. Leesa K Reed, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 151 N. Main St., Heritage Behavioral Health, Decatur, IL 62523 Phone: 217-362-6262 | |
Nicole Lynn Ekiss, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1170 E Riverside Ave, Decatur, IL 62521 Phone: 217-387-3625 | |
Susan S Brinklow, LCSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3040 N University Ave Ste 2, Decatur, IL 62526 Phone: 217-872-1700 Fax: 217-872-1366 | |
Jaymie L Mccammon, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 106 N Main St, Decatur, IL 62523 Phone: 779-220-0441 | |
Adrian Marie Byrd, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5130 Hickory Point Frontage Rd Ste 219, Decatur, IL 62526 Phone: 217-358-4548 Fax: 217-706-5779 | |
Tara Ulis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 102 W Kenwood Ave Ste 120a, Decatur, IL 62526 Phone: 217-520-1047 |