| Ms Teresa C Boose, LCSW | |
| 
					929 Stacey Burk Dr, Flora, IL 62839-3241  | |
| (618) 662-2191 | |
| (618) 662-8090 | 
| Full Name | Ms Teresa C Boose | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 929 Stacey Burk Dr, Flora, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699174185 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.009931 (Illinois) | Primary | 
| Entity Name | County Of Clay | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1811946411 PECOS PAC ID: 0042101982 Enrollment ID: O20040322000969  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Teresa C Boose, LCSW 929 Stacey Burk Dr, Flora, IL 62839-3241 Ph: (618) 662-2191  | Ms Teresa C Boose, LCSW 929 Stacey Burk Dr, Flora, IL 62839-3241 Ph: (618) 662-2191  | 
Scout Sanders,  Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 929 Stacey Burk Dr, Flora, IL 62839 Phone: 618-662-2131  | |
Roberta Hinman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 809 N Main St, Flora, IL 62839 Phone: 618-662-2398  | |
Christina L Brown, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 911 Stacey Burk Dr, Flora, IL 62839 Phone: 618-662-2131  |