| Sonya Clark, LCSW | |
|
405 W Jackson St, Carbondale, IL 62901-1462 | |
| (618) 549-0721 | |
| Not Available |
| Full Name | Sonya Clark |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 405 W Jackson St, Carbondale, 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 |
|---|---|---|---|
| 1225810682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149024749 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Medical Services Nfp | 3678677390 | 299 |
| 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 |
|---|---|
| Sonya Clark, LCSW Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Sonya Clark, LCSW 405 W Jackson St, Carbondale, IL 62901-1462 Ph: (618) 549-0721 |
Oyinlade Sowunmi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 S Wall St, Carbondale, IL 62901 Phone: 618-252-9036 | |
Rachel M Miller, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 200, Carbondale, IL 62901 Phone: 618-536-6621 Fax: 618-453-1102 | |
Ashley R Hickam, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 S Wall St, Carbondale, IL 62901 Phone: 618-924-0845 | |
Jodie Kennedy, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3412 S Illinois Ave, Carbondale, IL 62903 Phone: 618-327-1304 Fax: 618-457-8844 | |
Leisl Paligo, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1215 Sanpat Ln Apt A, Carbondale, IL 62902 Phone: 765-490-3799 | |
Matthew Wilson-leigh, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2311 S Illinois Ave, Carbondale, IL 62903 Phone: 618-457-6703 Fax: 618-549-3734 | |
Sarah Deaton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 Sandpiper Ln, Carbondale, IL 62901 Phone: 618-303-4652 |