| Mrs Kristine Marie Whitehead, MSW, LCSW | |
|
141 Communication Dr, Hannibal, MO 63401-3670 | |
| (573) 795-7342 | |
| (573) 248-3080 |
| Full Name | Mrs Kristine Marie Whitehead |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 141 Communication Dr, Hannibal, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891003992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2007010502 (Missouri) | Primary |
| Entity Name | Mark Twain Association For Mental Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700933363 PECOS PAC ID: 9436376969 Enrollment ID: O20140807000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kristine Marie Whitehead, MSW, LCSW 900 E. La Harpe St, Kirksville, MO 63501-4520 Ph: (660) 665-1962 | Mrs Kristine Marie Whitehead, MSW, LCSW 141 Communication Dr, Hannibal, MO 63401-3670 Ph: (573) 795-7342 |
Amelia Melton, MSW, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 235 Progress Rd, Hannibal, MO 63401 Phone: 573-777-8300 | |
Mr. Andrew Greening, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4355 Paris Gravel Rd, Hannibal, MO 63401 Phone: 573-248-3811 Fax: 573-248-3080 | |
Pamela Barrigar, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4600 Mcmasters Ave, Hannibal, MO 63401 Phone: 573-603-1460 Fax: 573-603-1462 | |
Katie L Elmore, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 146 Communication Dr, Hannibal, MO 63401 Phone: 573-248-1196 Fax: 573-248-2159 | |
Michelle Calhoon, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 154 Forrest Dr, Hannibal, MO 63401 Phone: 573-221-2120 Fax: 573-221-4380 | |
Mrs. Carrie Eizenga Danner, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1221 Broadway, Hannibal, MO 63401 Phone: 573-221-2111 Fax: 573-221-2597 | |
Mr. John Robert Pruett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 146 Communication Dr, Hannibal, MO 63401 Phone: 573-248-1196 |