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Shawnee Health Service And Development Corp
Federally Qualified Health Center (FQHC) in Carbondale, Illinois
NPI 1457381774

Shawnee Health Service And Development Corp is a Federally Qualified Health Center (FQHC) based in Carterville, IL and is specialized in Federally Qualified Health Center (FQHC). Shawnee Health Service And Development Corp practices in Carbondale, IL. The NPI Number for Shawnee Health Service And Development Corp is 1457381774 and holds a License No. (Illinois).

The current practice location address for Shawnee Health Service And Development Corp is 101 S Wall St, Carbondale, IL and can be reached out via phone at 618-519-9200 and via fax at 618-519-9404.

Location: 101 S Wall St, Carbondale, IL, 62918-0577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457381774
Provider Name
Shawnee Health Service And Development Corp
Credential
Provider Entity Type
Organization
Address
101 S Wall St, Carbondale, IL, 62918-0577
Phone Number
618-519-9200
Fax Number
618-519-9404
Provider Enumeration Date
07/03/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10032052 01 IL BCBS
CF3444 01 IL MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
101 S Wall St
City
Carbondale
State
Illinois
Zip
62901-3021
Phone Number
618-519-9200
Fax Number
618-519-9404
person
Provider Business Mailing Address Details
Address
101 S Wall St
City
Carbondale
State
Illinois
Zip
62901-3021
Phone Number
618-519-9200
Fax Number
618-519-9404
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
()
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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