Mr Jermaine Anthony Sr, LCSW,CRADC, DOT-SAP is a
Social Worker - Clinical based in Merrillville, Indiana. Mr Jermaine Anthony Sr is licensed to practice in Illinois (license number 149.028647) and his current practice location is
8892 Louisana Street, Suite D-2, Merrillville, Indiana. He can be reached at his office (for appointments etc.) via phone at
(630) 677-0450.
NPI number for Mr Jermaine Anthony Sr is 1811435027 and his current mailing address is Po Box 2964, East Chicago, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811435027.
Healthcare Provider's Profile
Full Name | Mr Jermaine Anthony Sr |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 8892 Louisana Street, Suite D-2, Merrillville, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811435027
- Provider Enumeration Date: 02/08/2017
- Last Update Date: 01/29/2025
Medical Identifiers
Medical identifiers for Mr Jermaine Anthony Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811435027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 31221 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149.028647 (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. Mr Jermaine Anthony Sr 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 |
Mr Jermaine Anthony Sr, LCSW,CRADC, DOT-SAP Po Box 2964, East Chicago, IN 46312-7964 Ph: (630) 677-0450 | Mr Jermaine Anthony Sr, LCSW,CRADC, DOT-SAP 8892 Louisana Street, Suite D-2, Merrillville, IN 46410-4641 Ph: (630) 677-0450 |
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