MRS. ABIGAIL DIANE WACASER (NPI# 1942420567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942420567 |
| Entity Type | Individual |
| Full Name | MRS. ABIGAIL DIANE WACASER |
| Credential | LCSW |
| Practice Address |
125 S Webster Ave Jacksonville IL 62650-1877 |
| Mailing Address |
325 E Spruce St Chatham IL 62629-1624 |
| Practice Telephone | 2174794284 |
| Practice Fax Number | 2174794326 |
| Mailing Telephone | 2173706103 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1041S0200X |
Social Worker Specialization: School |
2144651 | IL | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| Street Address |
125 S WEBSTER AVE |
| City | JACKSONVILLE |
| State | IL |
| Zip Code | 62650-1877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154475903 | Susan Poole Nolls | Social Worker | 125 S Webster Ave, Jacksonville, IL 62650-1877 | 2007-01-22 |
| 1578035044 | Kathryn Silvis Surbeck | Speech-Language Pathologist | 125 S Webster Ave, Jacksonville, IL 62650-1877 | 2018-12-21 |
| 1972033363 | Jessica M Clement | Speech-Language Pathologist | 125 S Webster Ave, Jacksonville, IL 62650 | 2017-06-18 |
| 1487021564 | Kerstin Autumn Bruere | Developmental Therapist | 125 S Webster Ave, Jacksonville, IL 62650-1877 | 2015-08-25 |
| 1598935934 | Ashley Colleen Byers | Developmental Therapist | 125 S Webster Ave, Jacksonville, IL 62650-1877 | 2008-02-29 |
| 1588842157 | Gail C Olson | Developmental Therapist | 125 S Webster Ave, Jacksonville, IL 62650-1877 | 2008-02-06 |
| 1396930988 | Illinois Schoold for The Deaf | Local Education Agency (LEA) | 125 S Webster Ave, Jacksonville, IL 62650-1877 | 2007-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768708 | Stephanie Lee Mabus | Occupational Therapy Assistant | 873 Gorve St, Jacksonville, IL 62650 | 2019-12-31 |
| 1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
| 1407979818 | Jan Ala | Speech-Language Pathologist | 1111 W Morton, Speechworks, Jacksonville, IL 62650 | 2007-04-09 |
| 1083787592 | Eldon G Barrowes Dds & Assoc PC | Dentist | 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 | 2006-11-15 |
| 1194895979 | Joseph J Kozma | Internal Medicine | 1440 West Walnut, Jacksonville, IL 62650 | 2006-11-08 |
| 1740350529 | Susan Weller | Dentist | 1614 West Lafayette Avenue, Jackson, IL 62650 | 2006-11-08 |
| 1659467793 | Shawn M Fry | Family Medicine | 610 N. Westgate, Jacksonville, IL 62650 | 2006-10-05 |
| 1518050061 | Ward Richard Dunseth II | Nurse Anesthetist, Certified Registered | 1400 W Walnut, Jacksonville, IL 62650 | 2006-10-02 |
| Find all providers in zip 62650 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758564 | Kelsey Lillard Embry | Social Worker | 2411 W. Main St., Jacksonville, AR 72076-8868 | 2017-09-07 |
| 1437391224 | Treena M Roads | Social Worker | 1307 Edgehill Rd, Jacksonville, IL 62650-2729 | 2009-03-25 |
| 1386043537 | Shanice Fuller | Social Worker | 2411 W Main St, Jacksonville, AR 72076-4211 | 2014-08-13 |
| 1881908515 | Laura Elizabeth King | Social Worker | 2411 W Main St, Jacksonville, AR 72076-4211 | 2010-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059818 | Amy D Ruckman | Social Worker | 407 S Edwards St, Altamont, IL 62411-1799 | 2020-09-29 |
| 1568080612 | Jordan Coleman | Social Worker | 1421 Marshall Ave, Mattoon, IL 61938-5341 | 2020-07-06 |
| 1164063632 | John Naret | Social Worker | 9130 S 52nd Ave, Oak Lawn, IL 60453-1799 | 2019-10-04 |
| 1306496393 | Marie Nagle | Social Worker | 6316 157th St, Oak Forest, IL 60452-2710 | 2019-09-12 |
| 1639641376 | Brandon Christensen | Social Worker | 110 Collins St, Joliet, IL 60432-2942 | 2018-12-19 |
| 1558847335 | Inner Balance Wellness | Social Worker | 303 E Army Trail Rd Ste 207, Bloomingdale, IL 60108-2143 | 2018-07-16 |
| 1538675244 | Mary Elizabeth Hall | Social Worker | 411 Stave Mill Rd, Murphysboro, IL 62966-4888 | 2017-12-18 |
| 1184133084 | Andrea Lynn Geis | Social Worker | 50 Blackwood Dr, Murphysboro, IL 62966-2937 | 2017-09-22 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1528587318 | Jaclyn Hood | Social Worker | 3945 Wehrman, Schiller Park, IL 60176 | 2017-09-13 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 62650 |
Please comment or provide details below to improve the information on MRS. ABIGAIL DIANE WACASER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.