Courtney L Hupp, is a
Social Worker - Clinical based in Maryville, Illinois. Courtney L Hupp is licensed to practice in * (Not Available) (license number 149.010943) and her current practice location is
2148 Vadalabene Dr, Maryville, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 205-8111.
NPI number for Courtney L Hupp is 1750719142 and her current mailing address is 560 Berkshire Dr, Troy, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750719142.
Healthcare Provider's Profile
Full Name | Courtney L Hupp |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2148 Vadalabene Dr, Maryville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750719142
- Provider Enumeration Date: 10/22/2013
- Last Update Date: 12/03/2019
Medical Identifiers
Medical identifiers for Courtney L Hupp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750719142 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 25430 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149010943 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149.010943 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Courtney L Hupp is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Courtney L Hupp, 560 Berkshire Dr, Troy, IL 62294-1288 Ph: (618) 670-7287 | Courtney L Hupp, 2148 Vadalabene Dr, Maryville, IL 62062-5632 Ph: (618) 205-8111 |
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