| Kristin Buller, LCSW | |
|
205 Oakland Ave, Carlinville, IL 62626-1921 | |
| (217) 854-3223 | |
| Not Available |
| Full Name | Kristin Buller |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 205 Oakland Ave, Carlinville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982982534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149-015128 (Illinois) | Primary |
| Entity Name | Macoupin County Public Health Department |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538444906 PECOS PAC ID: 1557377850 Enrollment ID: O20060223000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Buller, LCSW 205 Oakland Ave, Carlinville, IL 62626-1921 Ph: (217) 854-3223 | Kristin Buller, LCSW 205 Oakland Ave, Carlinville, IL 62626-1921 Ph: (217) 854-3223 |
Wayne Spicer Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1030 W Main St, Carlinville, IL 62626 Phone: 217-930-2106 | |
Andrea L Spicer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1030 W Main St, Carlinville, IL 62626 Phone: 217-930-2106 | |
Brian Stoops, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 20613 N Broad St Ste B, Carlinville, IL 62626 Phone: 217-854-3881 | |
Mrs. Lisa Hauter, LCSW CSADF Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 South Locust Street, Carlinville, IL 62626 Phone: 217-854-3166 Fax: 217-854-9729 | |
Elizabeth Mcintosh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 S Locust St, Carlinville, IL 62626 Phone: 217-854-3166 Fax: 217-854-3778 | |
Patrice M Fraser, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 320 S Locust St, Carlinville, IL 62626 Phone: 217-854-3166 Fax: 217-854-3778 | |
Rachel Lauren Hibbard, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 320 S Locust St, Carlinville, IL 62626 Phone: 217-854-3166 Fax: 217-854-9729 |