| Jessica Kathleen Pangilinan, LCSW | |
|
17886 E 23rd St S, Independence, MO 64057-1840 | |
| (816) 836-6705 | |
| (816) 257-2575 |
| Full Name | Jessica Kathleen Pangilinan |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 17886 E 23rd St S, Independence, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306401955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2019015078 (Missouri) | Primary |
| Entity Name | A W Stevenson Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396469060 PECOS PAC ID: 8628437092 Enrollment ID: O20230703000257 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Kathleen Pangilinan, LCSW Po Box 844715, Kansas City, MO 64184-4715 Ph: (417) 761-5214 | Jessica Kathleen Pangilinan, LCSW 17886 E 23rd St S, Independence, MO 64057-1840 Ph: (816) 836-6705 |
Evan E Gamsu, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 W Mechanic Ave, Independence, MO 64050 Phone: 913-269-0577 | |
Heather M Hayes, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17844 E 23rd St S, Independence, MO 64057 Phone: 816-254-3652 | |
Mrs. Barbara Jane Dickerson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12600e Us Highway 40 101, Independence, MO 64055 Phone: 816-405-1341 Fax: 816-753-7744 | |
Lindsay O Moore, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17844 E 23rd St S, Independence, MO 64057 Phone: 816-254-3652 | |
Dustin Dick, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 17611 E Us Highway 24, Independence, MO 64056 Phone: 816-836-6350 Fax: 816-886-5000 | |
Bridgett L Siegman, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17844 E 23rd St S, Independence, MO 64057 Phone: 816-254-3652 Fax: 816-254-9243 | |
Ms. Becky Wendt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11004 E Us Highway 40, Independence, MO 64055 Phone: 816-806-6252 |