James J Pugliano, LCSW | |
2100 52nd Ave, Moline, IL 61265-6366 | |
(309) 797-2900 | |
(309) 797-2147 |
Full Name | James J Pugliano |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2100 52nd Ave, Moline, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346251030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
Entity Name | Trinity Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568414134 PECOS PAC ID: 2264337518 Enrollment ID: O20031203000016 |
Entity Name | The Robert Young Center For Community Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912158494 PECOS PAC ID: 4587600150 Enrollment ID: O20220303002245 |
Mailing Address | Practice Location Address |
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James J Pugliano, LCSW 2100 52nd Ave, Moline, IL 61265-6366 Ph: (309) 797-2900 | James J Pugliano, LCSW 2100 52nd Ave, Moline, IL 61265-6366 Ph: (309) 797-2900 |
Ms. Joan Timmermann, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2031 | |
Ms. Rosemary Jordan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2100 52nd Ave, Moline, IL 61265 Phone: 309-797-2900 Fax: 309-797-2417 | |
Rebekah Ann Clark, LPHA,LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2031 Fax: 309-779-2027 | |
Tammi A White, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4600 3rd Street, Moline, IL 61265 Phone: 309-779-2031 Fax: 309-779-2027 | |
Olivia R Carrow, LCSW, LPHA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2326 16th St, Moline, IL 61265 Phone: 309-283-1203 | |
Ms. Linda Wright-jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2031 | |
Ms. Roxanne Nash, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2031 |