| Mr Terry Lynn Shirley, LCSW | |
|
1112 Linden St, Cape Girardeau, MO 63703-7707 | |
| (573) 334-5513 | |
| (573) 334-0312 |
| Full Name | Mr Terry Lynn Shirley |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 15 Years |
| Location | 1112 Linden St, Cape Girardeau, 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 |
|---|---|---|---|
| 1407148364 | NPI | - | NPPES |
| 1407148364 | Other | MO | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2013033736 (Missouri) | Primary |
| 1041C0700X | Social Worker - Clinical | 6801115644 (Michigan) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ausable Valley Community Mental Health Services Board | 2961485610 | 18 |
| Entity Name | Ausable Valley Community Mental Health Services Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417011701 PECOS PAC ID: 2961485610 Enrollment ID: O20050421000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Terry Lynn Shirley, LCSW 1112 Linden St, Cape Girardeau, MO 63703-7707 Ph: (573) 334-5513 | Mr Terry Lynn Shirley, LCSW 1112 Linden St, Cape Girardeau, MO 63703-7707 Ph: (573) 334-5513 |
Maggie Buckley, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 711 S Mount Auburn Rd, Cape Girardeau, MO 63703 Phone: 573-686-4151 | |
Connie Schuessler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 402 S Silver Springs Rd, Cape Girardeau, MO 63703 Phone: 573-334-1100 Fax: 573-334-8819 | |
Ms. Rebecca Joyce Heisserer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2909 Independence St, Cape Girardeau, MO 63703 Phone: 573-803-1402 Fax: 573-803-1405 | |
Miss Bridget Ann Boley, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 402 S Silver Springs Rd, Cape Girardeau, MO 63703 Phone: 573-334-1100 Fax: 573-651-4345 | |
Mrs. Patricia Dianne Hodges, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 402 S Silver Springs Rd, Cape Girardeau, MO 63703 Phone: 573-334-1100 Fax: 573-651-4345 | |
Mr. Daniel Arthur Benard, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 402 S Silver Springs Rd, Cape Girardeau, MO 63703 Phone: 573-334-1100 Fax: 573-651-4345 | |
Bailey J Debus, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 402 S Silver Springs Rd, Cape Girardeau, MO 63703 Phone: 573-334-1100 Fax: 573-651-4345 |