| Mrs Shelby Wayne Phillips, LCSW | |
|
1002 Galway Rd, Joliet, IL 60431-8627 | |
| (815) 953-0796 | |
| Not Available |
| Full Name | Mrs Shelby Wayne Phillips |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 1002 Galway Rd, Joliet, 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 |
|---|---|---|---|
| 1518577956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149025612 (Illinois) | Primary |
| 104100000X | Social Worker | 150102913 (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Edgewood Clinical Services P.c. | 3971963901 | 282 |
| Entity Name | Edgewood Clinical Services P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shelby Wayne Phillips, LCSW 1002 Galway Rd, Joliet, IL 60431-8627 Ph: (815) 953-0797 | Mrs Shelby Wayne Phillips, LCSW 1002 Galway Rd, Joliet, IL 60431-8627 Ph: (815) 953-0796 |
Cletus A Meiergerd, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 Ella Ave, Joliet, IL 60433 Phone: 815-727-8521 | |
Ruth Edith Gerhart, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 501 Ella Ave, Joliet, IL 60433 Phone: 815-740-5529 | |
Stacey Roberson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2121 Oneida St, 304, Joliet, IL 60435 Phone: 815-730-6800 Fax: 815-730-6868 | |
Mr. James Stanley Kubalewski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2212 Mcdonough St, Joliet, IL 60436 Phone: 815-725-2209 | |
Jessica Lynne Anderson-gonzalez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 350 Houbolt Rd, Joliet, IL 60431 Phone: 779-379-2654 | |
Mr. Mark Allen Roy, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1000 Essington Rd, Joliet, IL 60435 Phone: 708-535-3132 | |
Mrs. Sandra Mcclain-jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 311 N Ottawa St, Joliet, IL 60432 Phone: 815-774-9037 |