| Stacy J Scott, LCSW | |
|
760 Plantation Blvd, Sikeston, MO 63801-5736 | |
| (573) 471-0800 | |
| (573) 471-0810 |
| Full Name | Stacy J Scott |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 760 Plantation Blvd, Sikeston, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932186129 | NPI | - | NPPES |
| 495201014 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2002014995 (Missouri) | Primary |
| Entity Name | Bootheel Counseling Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386789139 PECOS PAC ID: 5496725145 Enrollment ID: O20040802000153 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy J Scott, LCSW 760 Plantation Blvd, P O Box 1043, Sikeston, MO 63801-5736 Ph: (573) 471-0800 | Stacy J Scott, LCSW 760 Plantation Blvd, Sikeston, MO 63801-5736 Ph: (573) 471-0800 |
Ms. Kelly M Heironimus, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 760 Plantation Blvd, Sikeston, MO 63801 Phone: 573-471-0800 Fax: 573-471-0810 | |
Christine Elizabeth Davis, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-471-0330 Fax: 573-471-0461 | |
Mrs. Heather Katherine Cox, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 903 S Kingshighway St, Sikeston, MO 63801 Phone: 573-472-2139 | |
Mrs. Kellee Marie Foote, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-471-0330 Fax: 573-471-0461 | |
Tabatha M Shankle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 760 Plantation Blvd, Sikeston, MO 63801 Phone: 573-471-0800 | |
Mrs. Melissa Diana Merideth, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 139 Autumn Dr, Sikeston, MO 63801 Phone: 573-620-1935 | |
Tiffani Bowman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-471-0330 Fax: 573-471-0461 |