Shirley Marie Forcum, LCSW | |
10257 State Route 3, Red Bud, IL 62278-4418 | |
(618) 282-6233 | |
Not Available |
Full Name | Shirley Marie Forcum |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 10257 State Route 3, Red Bud, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1457067506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 149.020198 (Illinois) | Primary |
Entity Name | Comwell |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134199037 PECOS PAC ID: 6709848831 Enrollment ID: O20041101000976 |
Mailing Address | Practice Location Address |
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Shirley Marie Forcum, LCSW Po Box 604, Tilden, IL 62292-0604 Ph: (618) 317-1517 | Shirley Marie Forcum, LCSW 10257 State Route 3, Red Bud, IL 62278-4418 Ph: (618) 282-6233 |
Jodi Kranz, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10257 State Route 3, Red Bud, IL 62278 Phone: 618-282-6233 Fax: 618-282-6949 | |
Emily Grossmann, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10257 State Route 3, Red Bud, IL 62278 Phone: 618-282-6233 | |
Mrs. Annamarie Kathleen Hess, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 126 Park Plaza Dr, Red Bud, IL 62278 Phone: 573-883-0372 |