| Tanya Mcleod, | |
|
902 W Main St, West Frankfort, IL 62896-2210 | |
| (618) 937-6483 | |
| (618) 937-1440 |
| Full Name | Tanya Mcleod |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 902 W Main St, West Frankfort, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346768769 | NPI | - | NPPES |
| 370916475048 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.019296 (Illinois) | Primary |
| Entity Name | Nexumhc Consultants, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851082598 PECOS PAC ID: 5698134005 Enrollment ID: O20230703002100 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanya Mcleod, 902 W Main St, West Frankfort, IL 62896-2210 Ph: (618) 937-6483 | Tanya Mcleod, 902 W Main St, West Frankfort, IL 62896-2210 Ph: (618) 937-6483 |
Brittany Vaughn, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 902 W Main St, West Frankfort, IL 62896 Phone: 855-608-3560 | |
Cecily Kondoudis, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 902 W Main St, West Frankfort, IL 62896 Phone: 618-937-6483 Fax: 618-937-1440 | |
Emily Crowell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 W 6th St, West Frankfort, IL 62896 Phone: 618-303-8843 | |
Sherry Gibbens, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 902 W Main St, West Frankfort, IL 62896 Phone: 618-937-6483 Fax: 618-937-1440 | |
Judy F Zito, MSW,LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 902 W Main St, West Frankfort, IL 62896 Phone: 618-937-6483 Fax: 618-937-1440 | |
Theresa Herron, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 902 W Main St, West Frankfort, IL 62896 Phone: 618-937-6483 Fax: 618-937-1440 |