| Lisa M Fox, LCSW | |
|
4460 N Illinois St Ste 1, Swansea, IL 62226-1899 | |
| (618) 277-7570 | |
| Not Available |
| Full Name | Lisa M Fox |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 4460 N Illinois St Ste 1, Swansea, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184244261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.022071 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fortitude Trails Counseling | 8921414947 | 3 |
| Entity Name | Chestnut Health Systems, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366431686 PECOS PAC ID: 1052393063 Enrollment ID: O20040603000738 |
| Entity Name | Fortitude Trails Counseling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295327575 PECOS PAC ID: 8921414947 Enrollment ID: O20210316003030 |
| Entity Name | Blue Chair Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336914142 PECOS PAC ID: 2163964594 Enrollment ID: O20240612003670 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Fox, LCSW 2921 Maryville Rd Ste B, Maryville, IL 62062-5400 Ph: (618) 484-9337 | Lisa M Fox, LCSW 4460 N Illinois St Ste 1, Swansea, IL 62226-1899 Ph: (618) 277-7570 |
Ashley Renee Brown, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4460 N Illinois St, Swansea, IL 62226 Phone: 618-581-9103 Fax: 618-222-7305 | |
Mrs. Laurie Jansen Gray, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1401 Merganser Blvd, Swansea, IL 62226 Phone: 618-806-4243 | |
Ms. Janice R Kreuger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Emerald Ter, Ste 4, Swansea, IL 62226 Phone: 618-233-0500 Fax: 618-233-7935 | |
Stephanie A Henson, MSW, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 4972 Benchmark Centre Dr Ste 100, Swansea, IL 62226 Phone: 618-780-8847 | |
Linda A Busch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4460 N Illinois St, Suite 7, Swansea, IL 62226 Phone: 618-222-7277 Fax: 618-222-7305 | |
Tiffany Rose Hislope, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Executive Woods Ct Lowr Level, Swansea, IL 62226 Phone: 618-277-7570 Fax: 618-277-6332 |