| Jsc Incorporated | |
|
2103 E Washington St Bldg 3 Bloomington IL 61701-4310 | |
| (309) 300-3072 | |
| Not Available |
| Full Name | Jsc Incorporated |
|---|---|
| Speciality | Social Worker |
| Location | 2103 E Washington St Bldg 3, Bloomington, Illinois |
| Authorized Official Name and Position | Jamie N Smith (OWNER) |
| Authorized Official Contact | 3093003072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jsc Incorporated 2103 E Washington St Bldg 3 Bloomington IL 61701-4310 Ph: (309) 300-3072 | Jsc Incorporated 2103 E Washington St Bldg 3 Bloomington IL 61701-4310 Ph: (309) 300-3072 |
| NPI Number | 1407497787 |
|---|---|
| Provider Enumeration Date | 10/08/2019 |
| Last Update Date | 04/23/2020 |
| Certification Date | 04/23/2020 |
| Medicare PECOS PAC ID | 1355771551 |
|---|---|
| Medicare Enrollment ID | O20200429002628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407497787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jamie N Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346611365 PECOS PAC ID: 3779885470 Enrollment ID: I20160113000295 |
Deborah Olbert Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 E Jefferson St, Bloomington, IL 61701 Phone: 309-828-1414 Fax: 309-827-0885 | |
Gateway Foundation, Inc-cmhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 N Hershey Rd Ste B, Bloomington, IL 61704 Phone: 877-381-6538 | |
Mclean County Fuse Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W Front St Ste 400e, Bloomington, IL 61701 Phone: 309-434-6510 Fax: 309-888-5111 | |
Cynthia M Harbaugh, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W Monroe St Ste 305, Bloomington, IL 61701 Phone: 309-862-3620 Fax: 309-322-0535 | |
Lifestance Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 808 S Eldorado Rd Ste 102, Bloomington, IL 61704 Phone: 888-428-7890 | |
Finding Your Path To Freedom Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2310 E Oakland Ave Ste 11b, Bloomington, IL 61701 Phone: 563-505-9529 Fax: 309-402-0579 | |
Hope 4 Tomorrow Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2422 E Washington St, Suite 107, Bloomington, IL 61704 Phone: 309-310-9621 Fax: 309-454-6501 |