| Jaime Cox, | |
|
203 Leland St, Bloomington, IL 61701-5643 | |
| (815) 324-4770 | |
| (815) 390-7773 |
| Full Name | Jaime Cox |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 203 Leland St, Bloomington, Illinois |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952191496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.029164 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sondermind Pc | 0547795791 | 64 |
| Entity Name | Sondermind PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003646977 PECOS PAC ID: 0547795791 Enrollment ID: O20241125001063 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaime Cox, 203 Leland St, Bloomington, IL 61701-5643 Ph: (815) 324-4770 | Jaime Cox, 203 Leland St, Bloomington, IL 61701-5643 Ph: (815) 324-4770 |
Hannah Deterding, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 |
Sara Chlebanowski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1003 Martin Luther King Dr, Bloomington, IL 61701 Phone: 309-827-6026 |
Jaylene Taubert, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 712 E Empire St Ste 1, Bloomington, IL 61701 Phone: 309-310-2841 |
Zoe Jane Baker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 N Williamsburg Dr Ste A, Bloomington, IL 61704 Phone: 309-807-5077 |
Beth Anne Vogel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2810 Degarmo Dr, Bloomington, IL 61704 Phone: 309-310-6465 |
Ms. Johanna Rayman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 200 W Monroe St, Suite 301, Bloomington, IL 61701 Phone: 309-310-5453 |
Danielle D Beasley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808 |