| Athena R Thompson, | |
|
114 E South Hills Dr, Maryville, MO 64468-2659 | |
| (660) 562-4304 | |
| (660) 562-4308 |
| Full Name | Athena R Thompson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 114 E South Hills Dr, Maryville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467120006 | NPI | - | NPPES |
| 2021034282 | Other | MO | CLINICAL SOCIAL WORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2021034282 (Missouri) | Primary |
| Entity Name | Mosaic Medical Center - Maryville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537 |
| Mailing Address | Practice Location Address |
|---|---|
| Athena R Thompson, 114 E South Hills Dr, Maryville, MO 64468-2659 Ph: (660) 562-4304 | Athena R Thompson, 114 E South Hills Dr, Maryville, MO 64468-2659 Ph: (660) 562-4304 |
Vicki Lee Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 E South Hills Dr, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-4303 | |
Jeffery Sturdivan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 114 E South Hills Dr, Maryville, MO 64468 Phone: 660-562-2525 | |
Christine Marie Jacobson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 106 W Edwards St, Maryville, MO 64468 Phone: 660-254-1812 | |
Mrs. Pamela Peve Alford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 515 S Dewey St, Maryville, MO 64468 Phone: 660-582-6470 Fax: 660-582-4271 | |
Susan L Ecker, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2416 S Main St, Maryville, MO 64468 Phone: 660-562-2352 Fax: 660-562-2933 | |
Lisa L Christmas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1429 S Munn Ave, Maryville, MO 64468 Phone: 660-562-3255 |