Melissa Harris, LCSW | |
806 E Walnut St, Watseka, IL 60970-1583 | |
(815) 432-1078 | |
(815) 432-1079 |
Full Name | Melissa Harris |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 806 E Walnut St, Watseka, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588065908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149028105 (Illinois) | Primary |
Entity Name | Gibson Community Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20040505001293 |
Mailing Address | Practice Location Address |
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Melissa Harris, LCSW 1120 N Melvin St, Gibson City, IL 60936-1477 Ph: (217) 784-4251 | Melissa Harris, LCSW 806 E Walnut St, Watseka, IL 60970-1583 Ph: (815) 432-1078 |
Mrs. Susan Kay Garner, LCSW, CADC, MISA II Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 Fax: 815-432-4537 | |
Sarah J Meyer, LCSW, CADC, PEL Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 | |
Catriese Carson Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 577 E Martin Ave, Watseka, IL 60970 Phone: 815-549-8575 | |
Evan M Lerman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 Fax: 815-432-4537 | |
Mr. William Edward Johnston Ii, MSW, ACSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 Fax: 815-432-4537 | |
Jolene A Foster, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 806 E Walnut St Ste A, Watseka, IL 60970 Phone: 815-432-1078 | |
Barbara Trist, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 Fax: 815-432-4537 |