Jeff Wood, LCSW | |
304 E Robinson St Ste 206b, Carmi, IL 62821-1935 | |
(407) 227-8150 | |
Not Available |
Full Name | Jeff Wood |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 304 E Robinson St Ste 206b, Carmi, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992725972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW 5698 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | 149-021154 (Illinois) | Primary |
Entity Name | Fairfield Memorial Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649442419 PECOS PAC ID: 5698671741 Enrollment ID: O20041124000368 |
Mailing Address | Practice Location Address |
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Jeff Wood, LCSW Po Box 112, Carmi, IL 62821-0112 Ph: (407) 227-8150 | Jeff Wood, LCSW 304 E Robinson St Ste 206b, Carmi, IL 62821-1935 Ph: (407) 227-8150 |
Mrs. Angela J Day, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 949 County Road 1300 N, Carmi, IL 62821 Phone: 618-382-4164 Fax: 618-382-3239 | |
Mrs. Oma Snedecor Rice, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 949 County Road 1300 N, Carmi, IL 62821 Phone: 618-382-3907 | |
Mr. Robert Newingham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 949 County Road 1300 N, Carmi, IL 62821 Phone: 618-382-4165 | |
Erin Holloman, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Shipley St, Carmi, IL 62821 Phone: 618-383-4351 |