Brian Stoops, LCSW | |
20613 N Broad St Ste B, Carlinville, IL 62626 | |
(217) 854-3881 | |
Not Available |
Full Name | Brian Stoops |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 20613 N Broad St Ste B, Carlinville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306247861 | NPI | - | NPPES |
149016747 | Other | IL | LICENSE CLINICAL SOCIAL WORKER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149016747 (Illinois) | Primary |
Entity Name | Carlinville Area Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932275641 PECOS PAC ID: 9032021373 Enrollment ID: O20031104000520 |
Mailing Address | Practice Location Address |
---|---|
Brian Stoops, LCSW 20733 N Broad St, Carlinville, IL 62626-3710 Ph: (217) 854-3141 | Brian Stoops, LCSW 20613 N Broad St Ste B, Carlinville, IL 62626 Ph: (217) 854-3881 |
Wayne Spicer Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1030 W Main St, Carlinville, IL 62626 Phone: 217-930-2106 | |
Andrea L Spicer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1030 W Main St, Carlinville, IL 62626 Phone: 217-930-2106 | |
Mrs. Lisa Hauter, LCSW CSADF Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 South Locust Street, Carlinville, IL 62626 Phone: 217-854-3166 Fax: 217-854-9729 | |
Elizabeth Mcintosh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 S Locust St, Carlinville, IL 62626 Phone: 217-854-3166 Fax: 217-854-3778 | |
Patrice M Fraser, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 320 S Locust St, Carlinville, IL 62626 Phone: 217-854-3166 Fax: 217-854-3778 | |
Rachel Lauren Hibbard, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 320 S Locust St, Carlinville, IL 62626 Phone: 217-854-3166 Fax: 217-854-9729 |