Taylor Holloway, MSW,LCSW | |
2615 Edwards St, Alton, IL 62002-3915 | |
(618) 462-2331 | |
(618) 462-2504 |
Full Name | Taylor Holloway |
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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 |
---|---|---|---|
1699376517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149024813 (Illinois) | Primary |
Entity Name | Centerstone Of Illinois Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053455667 PECOS PAC ID: 2961545173 Enrollment ID: O20100209000763 |
Mailing Address | Practice Location Address |
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Taylor Holloway, MSW,LCSW 902 W Main St, West Frankfort, IL 62896-2210 Ph: (618) 937-6483 | Taylor Holloway, MSW,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 | |
Ms. Kelly Josette Medlin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 | |
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 |