Susan Kay Selock, LCSW | |
317 S 14th St Ste 1, Herrin, IL 62948-3673 | |
(618) 988-6171 | |
(618) 351-6491 |
Full Name | Susan Kay Selock |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 48 Years |
Location | 317 S 14th St Ste 1, Herrin, 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 |
---|---|---|---|
1649708926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149012440 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Illinois Medical Services Nfp | 3678677390 | 252 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Entity Name | Jubilee House Outreach |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215359880 PECOS PAC ID: 6406076280 Enrollment ID: O20140929001998 |
Mailing Address | Practice Location Address |
---|---|
Susan Kay Selock, LCSW Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Susan Kay Selock, LCSW 317 S 14th St Ste 1, Herrin, IL 62948-3673 Ph: (618) 988-6171 |
Kristin Francis, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 405 Rushing Dr, Herrin, IL 62948 Phone: 618-993-3300 Fax: 618-993-0262 | |
Ms. Lisa Renee Melton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 412 S 14th St, Herrin, IL 62948 Phone: 618-967-1790 Fax: 618-351-4948 | |
Lenora Ann Levin, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 405 Rushing Dr, Herrin, IL 62948 Phone: 618-993-3300 Fax: 618-993-0262 | |
David E Matthews, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Lou Ann Dr, Herrin, IL 62948 Phone: 618-988-1330 Fax: 618-988-8321 | |
Robyn S Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Lou Ann Dr, Herrin, IL 62948 Phone: 618-988-1330 | |
Cortney Dawn Meyer, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 201 South 14th Street, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4917 | |
Colleen D. Schloemann, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2001 W Herrin St, Herrin, IL 62948 Phone: 618-988-8267 |