| Sherrie K Wallace, MSW, LCSW | |
|
4650 S National Ave Ste C1, Springfield, MO 65810-2895 | |
| (660) 243-4363 | |
| (660) 243-4363 |
| Full Name | Sherrie K Wallace |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4650 S National Ave Ste C1, Springfield, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528491529 | NPI | - | NPPES |
| 490044558 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6731308-3501 (Utah) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2017001738 (Missouri) | Primary |
| Entity Name | Burrell, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275541740 PECOS PAC ID: 4486548625 Enrollment ID: O20040210000372 |
| Entity Name | Serenity Psychological Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154995090 PECOS PAC ID: 8325434970 Enrollment ID: O20220406002995 |
| Mailing Address | Practice Location Address |
|---|---|
| Sherrie K Wallace, MSW, LCSW 4415 W Stone Ridge Rd, Battlefield, MO 65619-9845 Ph: (801) 726-9573 | Sherrie K Wallace, MSW, LCSW 4650 S National Ave Ste C1, Springfield, MO 65810-2895 Ph: (660) 243-4363 |
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 |