| Michele M Carroll | |
|
1100 Beech St Ste 5 Normal IL 61761-1493 | |
| (309) 306-2775 | |
| Not Available |
| Full Name | Michele M Carroll |
|---|---|
| Speciality | Social Worker |
| Location | 1100 Beech St Ste 5, Normal, Illinois |
| Authorized Official Name and Position | Michele Carroll (OWNER) |
| Authorized Official Contact | 3092875381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele M Carroll 1100 Beech St Ste 5 Normal IL 61761-1493 Ph: (309) 306-2775 | Michele M Carroll 1100 Beech St Ste 5 Normal IL 61761-1493 Ph: (309) 306-2775 |
| NPI Number | 1326803867 |
|---|---|
| Provider Enumeration Date | 02/14/2024 |
| Last Update Date | 03/24/2026 |
| Certification Date | 03/24/2026 |
| Medicare PECOS PAC ID | 3678040417 |
|---|---|
| Medicare Enrollment ID | O20260429001663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326803867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Michele Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588008122 PECOS PAC ID: 0749547115 Enrollment ID: I20171121000409 |
The Baby Fold Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 Susan Dr, Normal, IL 61761 Phone: 309-452-1170 Fax: 309-451-7269 |
The Baby Fold Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Fort Jesse Rd Ste A, Normal, IL 61761 Phone: 309-452-1170 Fax: 309-452-0115 |
Ausome Therapy Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Kays Dr, Normal, IL 61761 Phone: 309-662-5050 Fax: 630-303-9704 |
Advanced Counseling Evaluation Treatment and Dui Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 E Lincoln St, Suite 204, Normal, IL 61761 Phone: 309-808-1017 |
Aka Counseling Center LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 Oglesby Ave Ste 114a, Normal, IL 61761 Phone: 309-807-8669 |
You Matter Counseling & Connection PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Landmark Dr Ste 5b, Normal, IL 61761 Phone: 309-306-2771 |