| Derick Nelson Farmer, | |
|
300 W 19th Ter, Kansas City, MO 64108-2026 | |
| (816) 404-5709 | |
| Not Available |
| Full Name | Derick Nelson Farmer |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 300 W 19th Ter, Kansas City, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851874564 | NPI | - | NPPES |
| 490074453 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4726 (Kansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2018001714 (Missouri) | Primary |
| Entity Name | Truman Medical Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144207937 PECOS PAC ID: 7315841418 Enrollment ID: O20031120000847 |
| Entity Name | Success Health System Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508310293 PECOS PAC ID: 2961787809 Enrollment ID: O20170316000937 |
| Mailing Address | Practice Location Address |
|---|---|
| Derick Nelson Farmer, 10228 Kessler St Apt A, Overland Park, KS 66212-5357 Ph: (620) 288-0768 | Derick Nelson Farmer, 300 W 19th Ter, Kansas City, MO 64108-2026 Ph: (816) 404-5709 |
Mrs. Jessica Woodruff, PLCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9700 Grandview Rd, Kansas City, MO 64137 Phone: 816-508-3400 Fax: 816-508-3425 | |
Ms. Nancy S. Wolff, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10918 Elm Ave Ste 102, Kansas City, MO 64134 Phone: 816-765-6600 | |
Mrs. Holly Jackson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 511 W 86th Ter, Kansas City, MO 64114 Phone: 816-377-6872 | |
Carol Thoma-perry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 516 E 66th Ter, Kansas City, MO 64131 Phone: 816-803-1937 | |
Abigail Tomczuk, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3100 Ne 83rd St, Kansas City, MO 64119 Phone: 816-468-0400 | |
Maryana I. Lopez, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 W 19th Ter, Kansas City, MO 64108 Phone: 816-404-6745 | |
Mrs. Kristine Vince, LCSW, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 E 59th St, Kansas City, MO 64113 Phone: 816-363-1898 Fax: 816-822-7711 |