| Mandy Lee Eisenberg, LCSW | |
|
639 York St Rm 212, Quincy, IL 62301-3919 | |
| (217) 222-6227 | |
| Not Available |
| Full Name | Mandy Lee Eisenberg |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 639 York St Rm 212, Quincy, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659931491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149023706 (Illinois) | Primary |
| 1041C0700X | Social Worker - Clinical | 2021022069 (Missouri) | Secondary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230214000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Mandy Lee Eisenberg, LCSW 1601 Old South River Rd, Saint Charles, MO 63303-4120 Ph: (636) 224-1210 | Mandy Lee Eisenberg, LCSW 639 York St Rm 212, Quincy, IL 62301-3919 Ph: (217) 222-6227 |
Brook Audra Linenfelser, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 | |
Eric E. Schultz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-224-4453 Fax: 217-224-9383 | |
Alan Richard Obert, MSW, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 4409 Maine St, Quincy, IL 62305 Phone: 217-223-0423 Fax: 217-223-0461 | |
Christopher Trey Sexton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4409 Maine St, Quincy, IL 62305 Phone: 217-223-0423 Fax: 217-223-0461 | |
Ashley Monita Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-224-4453 Fax: 217-224-9383 | |
Sandy Helen Moss, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 816 Long Dr, Quincy, IL 62305 Phone: 217-577-4656 | |
Katherine Thomure, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-277-5583 |