Ms Shelly L Patchett, LCSW | |
1107 N Blackhawk Blvd, Suite 8, Rockton, IL 61072-1500 | |
(815) 494-9115 | |
(815) 926-5301 |
Full Name | Ms Shelly L Patchett |
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Gender | Female |
Speciality | Clinical Social Worker |
Experience | 25 Years |
Location | 1107 N Blackhawk Blvd, Rockton, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215070487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.009828 (Illinois) | Primary |
Entity Name | Stateline Counseling Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033551320 PECOS PAC ID: 8729201686 Enrollment ID: O20140521001347 |
Mailing Address | Practice Location Address |
---|---|
Ms Shelly L Patchett, LCSW 1107 N Blackhawk Blvd, Suite 8, Rockton, IL 61072-1500 Ph: (815) 494-9115 | Ms Shelly L Patchett, LCSW 1107 N Blackhawk Blvd, Suite 8, Rockton, IL 61072-1500 Ph: (815) 494-9115 |
Mrs. Meghan Michelle Skidmore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 612 Wingate Pl, Rockton, IL 61072 Phone: 815-519-5963 | |
Carissa Lynn Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1047 Cannell Ct, Rockton, IL 61072 Phone: 815-988-9137 | |
Kathleen Reese, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 158 Quantico Dr, Rockton, IL 61072 Phone: 815-289-1648 |