| Tiffany Cason Kornmann, MSW, LCSW | |
|
1604 Eastport Plaza Dr Ste 102, Collinsville, IL 62234-6133 | |
| (618) 346-1111 | |
| Not Available |
| Full Name | Tiffany Cason Kornmann |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1604 Eastport Plaza Dr Ste 102, Collinsville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679390579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2010039510 (Missouri) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149027435 (Illinois) | Primary |
| Entity Name | Unity Hospice Of Greater St. Louis, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245319367 PECOS PAC ID: 0446260962 Enrollment ID: O20190501000720 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Cason Kornmann, MSW, LCSW 11600 Clayton Rd, Saint Louis, MO 63131-2506 Ph: (314) 471-1402 | Tiffany Cason Kornmann, MSW, LCSW 1604 Eastport Plaza Dr Ste 102, Collinsville, IL 62234-6133 Ph: (618) 346-1111 |
Ms. Jessica L Epperson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1215 Vandalia St, Collinsville, IL 62234 Phone: 618-343-6015 Fax: 618-578-5759 | |
Mr. David Charles Juelfs, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2014 Vandalia St, Collinsville, IL 62234 Phone: 618-345-9536 | |
Dina Payne, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8230 County Line Rd, Collinsville, IL 62234 Phone: 618-541-1170 | |
Ms. Lee Anne Biggins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 312 Crestwood Dr, Collinsville, IL 62234 Phone: 618-830-7569 | |
Cristy Lynn Bixler, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2014 Vandalia St, Collinsville, IL 62234 Phone: 618-345-9536 | |
Diana L Wall- Dudley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2014 Vandalia St, Collinsville, IL 62234 Phone: 618-345-9536 Fax: 618-345-9587 | |
Mrs. Andrea Renee Suess, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2014 Vandalia St, Collinsville, IL 62234 Phone: 618-345-9536 |