| Tonya Shanks, | |
|
631 N Longwood St Ste 103, Rockford, IL 61107-4263 | |
| (815) 962-5585 | |
| Not Available |
| Full Name | Tonya Shanks |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 3 Years |
| Location | 631 N Longwood St Ste 103, Rockford, 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 |
|---|---|---|---|
| 1124724497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149028075 (Illinois) | Primary |
| 104100000X | Social Worker | 150.110252 (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vitae Health Medical Illinois, Pllc | 2365798410 | 175 |
| Entity Name | Vitae Health Medical Illinois, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
| 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 |
|---|---|
| Tonya Shanks, 631 N Longwood St Ste 103, Rockford, IL 61107-4263 Ph: (815) 962-5585 | Tonya Shanks, 631 N Longwood St Ste 103, Rockford, IL 61107-4263 Ph: (815) 962-5585 |
Kelly Finch, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4320 Spring Creek Rd, Ste 19, Rockford, IL 61107 Phone: 815-222-9485 | |
Mrs. Jessica M Gregg, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5758 Elaine Dr Ste 101c, Rockford, IL 61108 Phone: 815-975-1177 | |
Miss Marcy L Turek, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1601 Parkview Ave, University Psychiatric Services, Rockford, IL 61107 Phone: 815-395-5874 Fax: 815-395-5644 | |
Stephanie A Johnson, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 4835 Manhattan Dr Ste 4, Rockford, IL 61108 Phone: 815-520-2303 | |
Claire Vasquez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4410 Saint Annes Way, Rockford, IL 61114 Phone: 847-456-7425 | |
Dana Stephen Kiley, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2823 Glenwood Ave, Rockford, IL 61101 Phone: 815-968-5342 Fax: 815-968-4656 | |
Paula Tripodi, L.C.S.W. Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 6735 Vistagreen Way Ste 210, Rockford, IL 61107 Phone: 815-742-7489 Fax: 815-904-6419 |