Caleb Matthew Blaize, LCSW | |
441 Nw W Hwy, Kingsville, MO 64061-9117 | |
(816) 308-0246 | |
Not Available |
Full Name | Caleb Matthew Blaize |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 441 Nw W Hwy, Kingsville, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407327463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2022004384 (Missouri) | Primary |
Entity Name | Country Crossroads Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952705444 PECOS PAC ID: 1153850961 Enrollment ID: O20250123002390 |
Mailing Address | Practice Location Address |
---|---|
Caleb Matthew Blaize, LCSW 441 Nw W Hwy, Kingsville, MO 64061-9117 Ph: (816) 308-0246 | Caleb Matthew Blaize, LCSW 441 Nw W Hwy, Kingsville, MO 64061-9117 Ph: (816) 308-0246 |
Wendy Shalene Blaylock, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 305 E Pacific St, Kingsville, MO 64061 Phone: 816-597-3500 | |
Tessa Marie Eldringhoff, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 441 Nw W Hwy, Kingsville, MO 64061 Phone: 573-864-9897 | |
Katie Nash, MSW, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 441 Nw W Hwy, Kingsville, MO 64061 Phone: 816-308-0246 | |
Amanda Marie Struchtemeyer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 441 Nw W Hwy, Kingsville, MO 64061 Phone: 573-819-6909 | |
Amber May Myers, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 441 Nw W Hwy, Kingsville, MO 64061 Phone: 816-308-0246 |