| Preston Simpson, MSW,LCSW | |
|
403 Municipal Dr, Carterville, IL 62918-2042 | |
| (855) 608-3560 | |
| (618) 956-9349 |
| Full Name | Preston Simpson |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 403 Municipal Dr, Carterville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083249635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.022556 (Illinois) | Primary |
| Entity Name | Centerstone Of Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053455667 PECOS PAC ID: 2961545173 Enrollment ID: O20100209000763 |
| Entity Name | Ultacare Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225141492 PECOS PAC ID: 4789687484 Enrollment ID: O20220321000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Preston Simpson, MSW,LCSW 902 W Main St, West Frankfort, IL 62896-2210 Ph: (618) 937-6483 | Preston Simpson, MSW,LCSW 403 Municipal Dr, Carterville, IL 62918-2042 Ph: (855) 608-3560 |
Anna Walker, MSW,LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3656 Fax: 618-956-9349 | |
Teresa Annette Eblin, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 | |
Mrs. Susan Elain Frease, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 W Grand Ave, Carterville, IL 62918 Phone: 618-559-7372 | |
Trisha Fuller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 | |
Debora Rich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 Canary Ln, Carterville, IL 62918 Phone: 618-499-0651 | |
Lily Madison Holland, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 |