| Tiffany Todd, LCSW | |
|
3111 Williamson County Pkwy, Marion, IL 62959-5235 | |
| (618) 519-9200 | |
| (618) 985-9155 |
| Full Name | Tiffany Todd |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 20 Years |
| Location | 3111 Williamson County Pkwy, Marion, 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 |
|---|---|---|---|
| 1134582471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.017509 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Health Of Southern Illinois Ltd | 2365401122 | 18 |
| Entity Name | Shawnee Health Service And Development Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639295314 PECOS PAC ID: 1658285671 Enrollment ID: O20031120000454 |
| Entity Name | Integrated Health Of Southern Illinois Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982738274 PECOS PAC ID: 2365401122 Enrollment ID: O20041007000123 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Todd, LCSW 109 California Street, Po Box 577, Carterville, IL 62918-0577 Ph: (618) 985-8221 | Tiffany Todd, LCSW 3111 Williamson County Pkwy, Marion, IL 62959-5235 Ph: (618) 519-9200 |
Mrs. Susan Elaine Shelton, LCSW, DCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Kelsie Woods, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Mr. Jason Matthew Van Sickle, LCSW, MSCS, COR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 Fax: 618-998-5697 | |
Rocky Ray Peppers Sr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 Fax: 618-998-5677 | |
Adam Lee Coleman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Ms. Faith Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1307 W Main St, Marion, IL 62959 Phone: 618-997-5336 Fax: 618-993-2969 |