Sharon J Klingman, MS, CADC, LCPC | |
3024 E Empire St Fl 2, Bloomington, IL 61704 | |
(309) 556-7800 | |
(309) 556-7804 |
Full Name | Sharon J Klingman |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3024 E Empire St Fl 2, Bloomington, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760405401 | NPI | - | NPPES |
05732028 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 180000652 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180000652 (Illinois) | Primary |
Entity Name | Carle West Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Mailing Address | Practice Location Address |
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Sharon J Klingman, MS, CADC, LCPC Po Box 2451, Bloomington, IL 61702-2451 Ph: (309) 268-2172 | Sharon J Klingman, MS, CADC, LCPC 3024 E Empire St Fl 2, Bloomington, IL 61704 Ph: (309) 556-7800 |
Mr. Bryan James Hinman, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 309-557-1409 | |
William Douglas Portis, LCPC CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 808 S Eldorado Rd Ste 100c, Bloomington, IL 61704 Phone: 309-889-6222 | |
Victoria Fetter, Counselor Medicare: Medicare Enrolled Practice Location: 808 S Eldorado Rd Ste 102, Bloomington, IL 61704 Phone: 888-428-7890 Fax: 877-428-7891 | |
Timothy Robert Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 | |
Mr. Joshua Beckwith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808 | |
Mrs. Lisa Diane Neuweg, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 309-827-6026 | |
Mr. Harold Frank Piccinelli, M.S., L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 Martin Luther King Dr, Bloomington, IL 61701 Phone: 309-827-6026 |