| James B Garrison, LCSW | |
|
5005 Hononegah Rd Unit 1, Roscoe, IL 61073-8682 | |
| (779) 269-4011 | |
| (779) 771-6343 |
| Full Name | James B Garrison |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 5005 Hononegah Rd Unit 1, Roscoe, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174074975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149024297 (Illinois) | Primary |
| Entity Name | Confluence Individual And Relationship Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942909429 PECOS PAC ID: 2860935814 Enrollment ID: O20240618002681 |
| Mailing Address | Practice Location Address |
|---|---|
| James B Garrison, LCSW 1324 Camp Ave, Rockford, IL 61103 Ph: (815) 222-1679 | James B Garrison, LCSW 5005 Hononegah Rd Unit 1, Roscoe, IL 61073-8682 Ph: (779) 269-4011 |
Andrea Olson, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 5334 Williams Dr, Roscoe, IL 61073 Phone: 815-871-0957 Fax: 866-813-6462 | |
Abagail M Keegan, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5290 Williams Dr, Roscoe, IL 61073 Phone: 815-324-0324 Fax: 866-927-3053 | |
Ms. Vicki Elizabeth Marcum, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11447 2nd St, 9b, Roscoe, IL 61073 Phone: 815-997-3225 Fax: 815-965-4732 | |
Benjamin Mullineaux, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10126 Clearwing Ln, Roscoe, IL 61073 Phone: 618-203-2927 | |
Kim Marie Donovan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11447 2nd St Ste 9b, Roscoe, IL 61073 Phone: 815-601-4673 | |
Mrs. Ramona M Gulley, QMRP, QMHP, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 617 Purple Sage Dr, Roscoe, IL 61073 Phone: 815-540-9068 |