| Mr Joel M Black, LCSW | |
|
3324 Rue Royale St, Saint Charles, MO 63301-8321 | |
| (314) 643-6172 | |
| Not Available |
| Full Name | Mr Joel M Black |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 3324 Rue Royale St, Saint Charles, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144889650 | NPI | - | NPPES |
| 490074023 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2019040488 (Missouri) | Primary |
| 1041C0700X | Social Worker - Clinical | 149.021964 (Illinois) | Secondary |
| Entity Name | Redemption Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063045995 PECOS PAC ID: 8729417498 Enrollment ID: O20200331002495 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Joel M Black, LCSW 3324 Rue Royale St, Saint Charles, MO 63301-8321 Ph: (314) 643-6172 | Mr Joel M Black, LCSW 3324 Rue Royale St, Saint Charles, MO 63301-8321 Ph: (314) 643-6172 |
Mrs. Stephanie Lynch Reh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 102 Compass Point Dr, Saint Charles, MO 63301 Phone: 888-403-1071 | |
Thelma L Conley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 102 Compass Point Dr, Saint Charles, MO 63301 Phone: 636-946-4000 | |
Dianne Dodge, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1428 Hudson Lndg, Saint Charles, MO 63303 Phone: 314-302-7999 | |
Ellen M Burkemper, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 102 Compass Point Dr, Saint Charles, MO 63301 Phone: 636-946-4000 | |
Jacqueline Barnes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2536 S Old Highway 94, Suite 222, Saint Charles, MO 63303 Phone: 636-447-4198 | |
Mrs. Petina Collier Lindsey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2536 S Old Highway 94, Ste 220, Saint Charles, MO 63303 Phone: 314-322-3326 Fax: 636-329-0934 | |
Ms. Julie Michelle Wiechens, M.S.W., L.C.S.W Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2440 Executive Dr, Suite 210, Saint Charles, MO 63303 Phone: 636-447-1902 Fax: 636-447-1902 |