| Carol Ruth Childers, MSW, LCSW | |
|
252 Jupiter Rd, Camdenton, MO 65020-4442 | |
| (909) 224-2069 | |
| Not Available |
| Full Name | Carol Ruth Childers |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 252 Jupiter Rd, Camdenton, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396993275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS13133 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2004029296 (Missouri) | Primary |
| Entity Name | Bmsc Az Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497201875 PECOS PAC ID: 4385929173 Enrollment ID: O20191220000865 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Ruth Childers, MSW, LCSW Po Box 1262, Sunrise Beach, MO 65079-1262 Ph: (909) 224-2069 | Carol Ruth Childers, MSW, LCSW 252 Jupiter Rd, Camdenton, MO 65020-4442 Ph: (909) 224-2069 |
Ms. Crystal Brown, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 741 N Business Route 5, Camdenton, MO 65020 Phone: 888-403-1071 | |
Deanna Stock, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 30 Lakeview Drive, Camdenton, MO 65020 Phone: 573-814-6580 | |
Megan J Wagner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 Primrose Ln, Camdenton, MO 65020 Phone: 573-421-2065 |