| Staci M Knox, LCSW | |
|
815 E 5th St, Suite 101, Alton, IL 62002-6471 | |
| (618) 974-2291 | |
| Not Available |
| Full Name | Staci M Knox |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 815 E 5th St, Alton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457604704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149017034 (Illinois) | Primary |
| Entity Name | Osf Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437551322 PECOS PAC ID: 4284541806 Enrollment ID: O20150710000901 |
| Mailing Address | Practice Location Address |
|---|---|
| Staci M Knox, LCSW 414 Riggin Rd, Troy, IL 62294-1023 Ph: (618) 974-2291 | Staci M Knox, LCSW 815 E 5th St, Suite 101, Alton, IL 62002-6471 Ph: (618) 974-2291 |
Lea Anne Varble, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 815 E 5th St, Suite 101, Alton, IL 62002 Phone: 618-463-5278 Fax: 618-474-6242 | |
Breauna Nicole Hurd, MSW,LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-2504 | |
Mirtha D Liriano, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-2504 | |
Elaina Ward, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-7160 | |
Ms. Meredith Anne Parker, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Memorial Dr, 2nd Floor, Olin Wing, Alton, IL 62002 Phone: 618-463-7523 Fax: 618-463-7896 | |
Ronald Quick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3644 Horn Ave, Alton, IL 62002 Phone: 314-252-8159 | |
Justin Leigh Mckevitt, MSW,LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 877-467-3123 Fax: 618-462-2504 |