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NPI Code Detail

MEDICARE: MS. JESSICA L EPPERSON LCSW

MEDICARE:  MS. JESSICA L EPPERSON  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker149016030IL

General Provider Information

NPI Number : 1033545850
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JESSICA L EPPERSON LCSW
Provider Business Mailing Address
First Line : 1215 VANDALIA ST
Second Line :
City : COLLINSVILLE
State : IL
Zip : 62234-4060
Country : US
Telephone Number : 618-343-6015
Fax Number : 618-578-5759
Provider Business Practice Location Address
First Line : 1215 VANDALIA ST
Second Line :
City : COLLINSVILLE
State : IL
Zip : 62234-4060
Country : US
Telephone Number : 618-343-6015
Fax Number : 618-578-5759
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2013
Last Update Date : 08/19/2025

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Directions to “ MS. JESSICA L EPPERSON LCSW” Practice Location

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