| Ms Mandy Jean Witthuhn, LCSW | |
|
30 S Main St, Webb City, MO 64870-2379 | |
| (417) 203-0413 | |
| Not Available |
| Full Name | Ms Mandy Jean Witthuhn |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 30 S Main St, Webb City, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699155945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2018003788 (Missouri) | Primary |
| Entity Name | Compass Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955 |
| Entity Name | Ozark Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790796878 PECOS PAC ID: 4789588088 Enrollment ID: O20050223000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mandy Jean Witthuhn, LCSW 1825 N East St, Webb City, MO 64870-1183 Ph: (417) 203-0413 | Ms Mandy Jean Witthuhn, LCSW 30 S Main St, Webb City, MO 64870-2379 Ph: (417) 203-0413 |
Mrs. Diana Leigh Earhart, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2810 Mount Hope Rd, Webb City, MO 64870 Phone: 417-624-9659 | |
Mrs. Joan Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2810 Mount Hope Rd, Webb City, MO 64870 Phone: 417-624-9659 Fax: 417-206-7708 |