Individual ProviderSandra C McdermottCounselorBehavioral Health & Social Service ProvidersPractice Address907 Clocktower Drive, Springfield, IL 62704(217) 787-0077PECOS EnrollmentBased on the most recent information from CMS, provider Sandra C Mcdermott does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1689760456Provider TypeIndividualFull NameMcdermott, Sandra CCredentialLCPCGenderFemaleSole ProprietorYesEnumeration Date10/5/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address907 Clocktower Drive, Springfield, IL 62704Phone(217) 787-0077Fax(217) 787-7697Mailing LocationMailing Address907 Clocktower Drive, Springfield, IL 62704Phone(217) 787-0077Fax(217) 787-7697Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerIllinois