Nicole Campbell, LCSW | |
4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | |
(573) 596-9524 | |
Not Available |
Full Name | Nicole Campbell |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4430 Missouri Ave, Fort Leonard Wood, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134605850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2018030142 (Missouri) | Primary |
Entity Name | Ste Genevieve County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073587655 PECOS PAC ID: 3274432802 Enrollment ID: O20040312000516 |
Entity Name | Ste Genevieve County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801817416 PECOS PAC ID: 3274432802 Enrollment ID: O20040617000089 |
Entity Name | Advanced Psychiatric Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154372464 PECOS PAC ID: 8820074297 Enrollment ID: O20040710000000 |
Mailing Address | Practice Location Address |
---|---|
Nicole Campbell, LCSW 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-9524 | Nicole Campbell, LCSW 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-9524 |
Erica L Asbell, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0522 | |
Barbara Ann Welch, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
Stephen Lindsey Dunaway, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0522 | |
Mr. Bruce Franklin Burgo, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-1507 | |
Mr. Randall Allen Whitaker, MSW, LCSW, CASAC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
Keonyoung Lim, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0131 |