Connie Jo Goldsmith, LCPC | |
1520 S 4th St, Greenville, IL 62246-2618 | |
(618) 664-1455 | |
(618) 664-1374 |
Full Name | Connie Jo Goldsmith |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1520 S 4th St, Greenville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922252584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.002482 (Illinois) | Primary |
Entity Name | Bond County Treasurer |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437238177 PECOS PAC ID: 0446355820 Enrollment ID: O20070412000527 |
Mailing Address | Practice Location Address |
---|---|
Connie Jo Goldsmith, LCPC 1520 S 4th St, Greenville, IL 62246-2618 Ph: (618) 664-1455 | Connie Jo Goldsmith, LCPC 1520 S 4th St, Greenville, IL 62246-2618 Ph: (618) 664-1455 |
Rebecca Albers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1520 S 4th St, Greenville, IL 62246 Phone: 618-664-1455 | |
Rebecca Dawn Klitzke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1520 S 4th St, Greenville, IL 62246 Phone: 618-664-1455 Fax: 618-664-1374 | |
Deborah Simcox, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1520 S 4th St, Greenville, IL 62246 Phone: 618-664-1455 Fax: 618-664-1374 | |
Adrienne Kayle Beavor, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1520 S 4th St, Greenville, IL 62246 Phone: 618-664-1224 | |
Mrs. Linda Peters, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 W College Ave, Greenville, IL 62246 Phone: 618-664-2360 Fax: 618-664-2360 | |
Diane Duft, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1520 S 4th St, Greenville, IL 62246 Phone: 618-664-1455 | |
Kristen Bruton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1520 S 4th St, Greenville, IL 62246 Phone: 618-664-1455 |