| Nichole Sprowso, LCSW | |
|
334 E Commercial St Ste 208, Springfield, MO 65803-2961 | |
| (970) 208-7791 | |
| Not Available |
| Full Name | Nichole Sprowso |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 3 Years |
| Location | 334 E Commercial St Ste 208, Springfield, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609604347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2024029659 (Missouri) | Primary |
| Entity Name | Psych Revival Therapy, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184447955 PECOS PAC ID: 0941725725 Enrollment ID: O20250415001732 |
| Mailing Address | Practice Location Address |
|---|---|
| Nichole Sprowso, LCSW 3097 N Dickerson Ave, Springfield, MO 65803-1267 Ph: (980) 208-7791 | Nichole Sprowso, LCSW 334 E Commercial St Ste 208, Springfield, MO 65803-2961 Ph: (970) 208-7791 |
Mrs. Miriam E Green, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1330 E Cherry St, Springfield, MO 65802 Phone: 417-862-1377 | |
Renee Ann Jenkins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1550 E Sunshine St, Springfield, MO 65804 Phone: 417-883-7500 | |
Makayla Mae Stanton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 230 N Belcrest Ave, Suite A, Springfield, MO 65802 Phone: 417-413-4676 | |
Allison J Robertson, MSW, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1300 E Bradford Pkwy Bldg B, Springfield, MO 65804 Phone: 417-761-5000 | |
Jessica A Aldrich, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1423 N Jefferson Ave Fl 3, Springfield, MO 65802 Phone: 417-761-5000 | |
Linda E Maddox, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3263 E Lombard St, Springfield, MO 65802 Phone: 417-860-3705 | |
Elizabeth Marie Mendenhall, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 440 S Market Ave, Springfield, MO 65806 Phone: 417-865-5581 |