| Jeffery Sturdivan, LCSW | |
|
114 E South Hills Dr, Maryville, MO 64468-2659 | |
| (660) 562-2525 | |
| Not Available |
| Full Name | Jeffery Sturdivan |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 12 Years |
| Location | 114 E South Hills Dr, Maryville, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275081499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2018031632 (Missouri) | Secondary |
| 104100000X | Social Worker | 2016029995 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Burrell, Inc. | 4486548625 | 190 |
| Entity Name | Burrell, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275541740 PECOS PAC ID: 4486548625 Enrollment ID: O20040210000372 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery Sturdivan, LCSW 114 E South Hills Dr, Maryville, MO 64468-2659 Ph: (660) 562-2525 | Jeffery Sturdivan, LCSW 114 E South Hills Dr, Maryville, MO 64468-2659 Ph: (660) 562-2525 |
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 | |
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 | |
Athena R Thompson, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 114 E South Hills Dr, Maryville, MO 64468 Phone: 660-562-4304 Fax: 660-562-4308 |