| Kaitlyn Ann Taylor-johnson, LCSW | |
|
116 S Lombard St, Mahomet, IL 61853-9202 | |
| (217) 352-0200 | |
| (217) 607-1139 |
| Full Name | Kaitlyn Ann Taylor-johnson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 116 S Lombard St, Mahomet, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609482173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.031219 (Illinois) | Primary |
| Entity Name | Keri Powell Therapy Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174751663 PECOS PAC ID: 9638335532 Enrollment ID: O20120720000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlyn Ann Taylor-johnson, LCSW 2125 S Neil St, Champaign, IL 61820-7266 Ph: (217) 352-0200 | Kaitlyn Ann Taylor-johnson, LCSW 116 S Lombard St, Mahomet, IL 61853-9202 Ph: (217) 352-0200 |
Dawn Marie Taylor, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1204 E Oak St Ste 2-2, Mahomet, IL 61853 Phone: 217-530-5608 Fax: 309-981-8714 | |
Christopher Dring Difilippo, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1205 Riverside Ct, Mahomet, IL 61853 Phone: 217-369-9183 | |
Mrs. Trisha Nicole Nelson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 116 S Lombard St, Mahomet, IL 61853 Phone: 217-352-0200 Fax: 217-607-1139 | |
Tessa Valeu, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1204 E Oak St Ste 2-2, Mahomet, IL 61853 Phone: 217-530-5608 Fax: 309-981-8714 | |
Rebecca Richards, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2659 County Road 350 E, Mahomet, IL 61853 Phone: 217-372-4157 | |
Miranda L Perrero, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1008 Timber Dr, Mahomet, IL 61853 Phone: 309-337-1318 | |
Matthew Carter, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1204 E Oak St Ste 2-2, Mahomet, IL 61853 Phone: 217-530-5608 Fax: 309-981-8714 |