| Johanna Maria Paulien Williams, LCSW | |
| 
					1319 E Wantland Dr, Taylorville, IL 62568-9305  | |
| (217) 820-0307 | |
| Not Available | 
| Full Name | Johanna Maria Paulien Williams | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 1319 E Wantland Dr, Taylorville, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023791852 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.024632 (Illinois) | Primary | 
| Entity Name | Edgewood Clinical Services P.c. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Johanna Maria Paulien Williams, LCSW 1319 E Wantland Dr, Taylorville, IL 62568-9305 Ph: (217) 820-0307  | Johanna Maria Paulien Williams, LCSW 1319 E Wantland Dr, Taylorville, IL 62568-9305 Ph: (217) 820-0307  | 
Mrs. Schales Lucille Nagle, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1290 W Wantland Dr, Taylorville, IL 62568 Phone: 217-273-4902  | |
Kelsie A. Tobias, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 600 N Main St, Taylorville, IL 62568 Phone: 217-528-7541 Fax: 217-824-2114  | |
Lauren A. Henton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 N Main St, Taylorville, IL 62568 Phone: 217-528-7541 Fax: 217-824-2114  | |
Barbara A Brauer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 730 North Pawnee, Taylorville, IL 62568 Phone: 217-824-4905 Fax: 217-824-3570  | |
Amanda Dawn Prather,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 N Main St, Taylorville, IL 62568 Phone: 217-528-7541  | |
Ms. Rose Lafferty, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 403 W Main Cross St, Taylorville, IL 62568 Phone: 217-824-6431 Fax: 217-824-6431  |