| Jacob L Logsdon, | |
|
1949 Snowberry Ln, Joplin, MO 64804-5420 | |
| (417) 347-7860 | |
| Not Available |
| Full Name | Jacob L Logsdon |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1949 Snowberry Ln, Joplin, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841850468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2019017361 (Missouri) | Primary |
| Entity Name | Ozark Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790796878 PECOS PAC ID: 4789588088 Enrollment ID: O20050223000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob L Logsdon, Po Box 2526, Joplin, MO 64803-2526 Ph: (417) 347-7579 | Jacob L Logsdon, 1949 Snowberry Ln, Joplin, MO 64804-5420 Ph: (417) 347-7860 |
Tracy R Fisher, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2501 E 20th St, Joplin, MO 64804 Phone: 417-499-7498 | |
Joni Lynn Baker, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 522 W 32nd St Ste 2, Joplin, MO 64804 Phone: 417-782-4055 Fax: 417-782-3675 | |
Alisa Jean Barroeta, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 530 S Maiden Ln, Joplin, MO 64801 Phone: 417-782-6200 Fax: 417-782-6210 | |
Amanda Tompkins, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3901 E 32nd St, Joplin, MO 64804 Phone: 417-347-7567 | |
Ms. Mindy Jane Miller, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1505 E 20th St, Joplin, MO 64804 Phone: 417-627-9601 | |
Mr. Doyle Lee Hoth, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2650 E 32nd St, Suite 221, Joplin, MO 64804 Phone: 417-623-1381 | |
Susan Colleen Stephens-dagley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 135 Valleyview Dr, Joplin, MO 64804 Phone: 417-434-5705 |