| Angela Kearns, | |
|
525 County Road 816, Black, MO 63625-9115 | |
| (573) 269-4291 | |
| Not Available |
| Full Name | Angela Kearns |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 525 County Road 816, Black, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881089324 | NPI | - | NPPES |
| 1952424566 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2012031864 (Missouri) | Primary |
| Entity Name | Great Mines Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376536953 PECOS PAC ID: 3072598143 Enrollment ID: O20041004000035 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Kearns, 525 County Road 816, Black, MO 63625-9115 Ph: (573) 269-4291 | Angela Kearns, 525 County Road 816, Black, MO 63625-9115 Ph: (573) 269-4291 |
Mrs. Sharon Elizabeth Sorrell, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box 127, Black, MO 63625 Phone: 573-269-4291 | |
Patricia Cahill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box 127, Black, MO 63625 Phone: 573-269-4291 Fax: 573-269-4202 | |
Karen Monroe, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Rr 1 Box 127, Black, MO 63625 Phone: 573-269-4291 Fax: 573-269-4202 | |
Deborah Stewart, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box 127, Black, MO 63625 Phone: 573-269-4291 Fax: 573-269-4202 | |
Isaac Gregory Freeman, BSW, MSW, LMSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 525 County Road 816, Black, MO 63625 Phone: 573-269-4291 Fax: 573-269-4202 |