Kettisha M Hodges, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Quincy, Illinois. Her current practice location is
2001 Maine St. Suite 102, Quincy, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 740-2719.
Kettisha M Hodges is licensed to practice in Illinois (license number 149018038) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235425620.
Healthcare Provider's Profile
Full Name | Kettisha M Hodges |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 2001 Maine St. Suite 102, Quincy, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kettisha M Hodges attended and graduated from in
NPI Data:
- NPI Number: 1235425620
- Provider Enumeration Date: 06/23/2011
- Last Update Date: 11/04/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kettisha M Hodges such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235425620 | NPI | - | NPPES |
F400252568 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 2010028380 (Missouri) | Secondary |
1041C0700X | Social Worker - Clinical | 149018038 (Illinois) | 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. Kettisha M Hodges is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kettisha M Hodges, LCSW 609 S 2nd St, Canton, MO 63435-1626 Ph: (573) 406-2473 | Kettisha M Hodges, LCSW 2001 Maine St. Suite 102, Quincy, IL 62301-6230 Ph: (217) 740-2719 |
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