| Joseph Vaughan, LCSW | |
|
920 W Custer Ave, Pontiac, IL 61764-1067 | |
| (815) 844-6109 | |
| (815) 844-3561 |
| Full Name | Joseph Vaughan |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 32 Years |
| Location | 920 W Custer Ave, Pontiac, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508873381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 149007408 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Institute For Human Resources Of Livingston County, Il | 7810066511 | 6 |
| Entity Name | Institute For Human Resources Of Livingston County, Il |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649239674 PECOS PAC ID: 7810066511 Enrollment ID: O20080521000463 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Vaughan, LCSW Po Box 768, Pontiac, IL 61764-0768 Ph: (815) 844-6109 | Joseph Vaughan, LCSW 920 W Custer Ave, Pontiac, IL 61764-1067 Ph: (815) 844-6109 |
Lauren Whitecotton, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 | |
Brittany Henson, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561 | |
Tiffany Meints, Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 E Torrance Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561 | |
Sandra Boeckmann, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561 | |
Meredith M Spraggon, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561 | |
Katie Kennedy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561 | |
Rhonda Looney, HS Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561 |