| Ms Dabney Parker Stack, LCSW | |
| 
					201 S 14th St, Herrin, IL 62948-3631  | |
| (618) 942-2171 | |
| (618) 351-4917 | 
| Full Name | Ms Dabney Parker Stack | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 201 S 14th St, Herrin, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518903004 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149018994 (Illinois) | Primary | 
| Entity Name | Harrisburg Medical Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1396878658 PECOS PAC ID: 9638083884 Enrollment ID: O20031113000179  | 
| Entity Name | Southern Illinois Medical Services Nfp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Dabney Parker Stack, LCSW Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200  | Ms Dabney Parker Stack, LCSW 201 S 14th St, Herrin, IL 62948-3631 Ph: (618) 942-2171  | 
Kristin Francis, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 405 Rushing Dr, Herrin, IL 62948 Phone: 618-993-3300 Fax: 618-993-0262  | |
Ms. Lisa Renee Melton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 412 S 14th St, Herrin, IL 62948 Phone: 618-967-1790 Fax: 618-351-4948  | |
Lenora Ann Levin,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 Rushing Dr, Herrin, IL 62948 Phone: 618-993-3300 Fax: 618-993-0262  | |
David E Matthews, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Lou Ann Dr, Herrin, IL 62948 Phone: 618-988-1330 Fax: 618-988-8321  | |
Robyn S Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Lou Ann Dr, Herrin, IL 62948 Phone: 618-988-1330  | |
Cortney Dawn Meyer,  Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 201 South 14th Street, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4917  | |
Colleen D. Schloemann, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2001 W Herrin St, Herrin, IL 62948 Phone: 618-988-8267  |