| Rebecca M Holman, LCSW | |
|
1450 E 10th St, Rolla, MO 65401-3648 | |
| (844) 853-8937 | |
| Not Available |
| Full Name | Rebecca M Holman |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1450 E 10th St, Rolla, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669519070 | NPI | - | NPPES |
| 490728003 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6942-C (Arkansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2005039215 (Missouri) | Primary |
| Entity Name | Northeast Arkansas Community Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336118207 PECOS PAC ID: 0244130839 Enrollment ID: O20040110000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca M Holman, LCSW 1800 Community, Clinton, MO 64735-8804 Ph: () - | Rebecca M Holman, LCSW 1450 E 10th St, Rolla, MO 65401-3648 Ph: (844) 853-8937 |
Allen Taylor, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1450 E 10th St, Rolla, MO 65401 Phone: 844-853-8937 | |
Mr. Hall Britton Whitaker, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12001 County Road 3160, Rolla, MO 65401 Phone: 573-364-7022 Fax: 573-364-7022 | |
Mr. David H. Hoxworth, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 404 Bill Ave, Rolla, MO 65401 Phone: 573-426-5616 | |
Linda Lee Falkenhain, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10746 County Road 8090, Rolla, MO 65401 Phone: 573-364-6186 Fax: 573-364-5200 | |
Brenda Sue Linkeman, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1203 Forum Dr, Suite B, Rolla, MO 65401 Phone: 573-426-2006 Fax: 573-426-4736 | |
Karolyn Ann Carpenter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1301 B Highway 72 E, Rolla, MO 65402 Phone: 573-426-5181 Fax: 573-426-4817 | |
Shana Hintz Wisniewski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 W. 10th St., Rolla, MO 65401 Phone: 573-458-7323 |