| Jeff Wood, LCSW | |
| 
					304 E Robinson St Ste 206b, Carmi, IL 62821-1935  | |
| (407) 227-8150 | |
| Not Available | 
| Full Name | Jeff Wood | 
|---|---|
| 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 | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649442419 PECOS PAC ID: 5698671741 Enrollment ID: O20041124000368  | 
| Entity Name | Wisemind Counseling And Consulting, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1336904689 PECOS PAC ID: 8325584881 Enrollment ID: O20240722001127  | 
| Mailing Address | Practice Location Address | 
|---|---|
| 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  |