Katie Johnson, LCSW | |
2601 W Main St, Carbondale, IL 62901-1031 | |
(618) 549-5361 | |
(618) 351-4878 |
Full Name | Katie Johnson |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 16 Years |
Location | 2601 W Main St, Carbondale, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306322110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.018073 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Illinois Medical Services Nfp | 3678677390 | 254 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
---|---|
Katie Johnson, LCSW Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Katie Johnson, LCSW 2601 W Main St, Carbondale, IL 62901-1031 Ph: (618) 549-5361 |
Mary L Nash-pyott, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2311 S Illinois Ave, Carbondale, IL 62903 Phone: 618-457-6703 Fax: 618-549-3734 | |
Rachel M Miller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 305 W Jackson St Ste 200, Carbondale, IL 62901 Phone: 618-536-6621 Fax: 618-453-1102 | |
Jodie Kennedy, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3412 S Illinois Ave, Carbondale, IL 62903 Phone: 618-327-1304 Fax: 618-457-8844 | |
Carrie Lynn Vine, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 View Valley Dr, Carbondale, IL 62903 Phone: 915-217-8288 | |
Shelby Jo Seegers-schafer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 804 W Main St, Carbondale, IL 62901 Phone: 618-351-1279 Fax: 618-351-6369 | |
Sonya Clark, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Jennifer L Deloach, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8609 Giant City Rd, Suite F, Carbondale, IL 62902 Phone: 618-351-8226 |