Unknown Individual – Clinical Social Worker, NPI 1669619656
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
408, East Vine Street, Vienna, Johnson County, Illinois, 62995, United States
VIENNA, IL 629951612
Phone: (618) 658-2611
Fax: (618) 658-2501
Type: Location
South Illinois Avenue, Carbondale, Jackson County, Illinois, 62901, United States
CARBONDALE, IL 629038369
Phone: (618) 457-3567
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62995)
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