| Ms Stephanie Ann White, LCSW | |
|
5950 N Oak Trfy, Ste 104, Gladstone, MO 64118-5166 | |
| (816) 455-7223 | |
| (816) 455-7224 |
| Full Name | Ms Stephanie Ann White |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 5950 N Oak Trfy, Gladstone, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952364267 | NPI | - | NPPES |
| 010227780 | Medicaid | VA | |
| 186803 | Other | VA | ANTHEM HEALTHKEEPERS |
| 186803 | Other | VA | ANTHEM PPO BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 09047005918 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2011041571 (Missouri) | Primary |
| Entity Name | Meditelecare Of Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851890321 PECOS PAC ID: 2163785973 Enrollment ID: O20180409002025 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Stephanie Ann White, LCSW 5950 N Oak Trfy, Ste 104, Gladstone, MO 64118-5166 Ph: (816) 455-7223 | Ms Stephanie Ann White, LCSW 5950 N Oak Trfy, Ste 104, Gladstone, MO 64118-5166 Ph: (816) 455-7223 |
Susan Taylor-amos, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6651 N Oak Trfy Ste 17, Gladstone, MO 64118 Phone: 816-246-4465 Fax: 816-524-7008 | |
Sarah Elizabeth Foster, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2900 Ne 60th St Ste 300, Gladstone, MO 64119 Phone: 913-346-1516 | |
Ms. Kathleen Bridget Costello, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6651 N Oak Trfy, Suite 13, Gladstone, MO 64118 Phone: 816-453-2233 Fax: 816-453-2266 | |
Elizabeth Miratsky, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6708 N Charlotte St, Gladstone, MO 64118 Phone: 816-210-6054 | |
Jennifer L Riddell, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6651 N Oak Trfy Ste 17, Gladstone, MO 64118 Phone: 816-246-4465 Fax: 816-524-7008 | |
Saryn Graham, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2900 Ne 60th St Ste 206, Gladstone, MO 64119 Phone: 913-229-5691 | |
Catherine J Blanch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5602 N Highland Ave, Gladstone, MO 64118 Phone: 816-694-1437 |