| Stefanie Leann Kissick, LCSW | |
|
1502 N Jefferson St, Carrollton, MO 64633-1948 | |
| (660) 542-1695 | |
| (660) 542-0363 |
| Full Name | Stefanie Leann Kissick |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1502 N Jefferson St, Carrollton, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811766173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2020003749 (Missouri) | Primary |
| Entity Name | Carroll County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528067113 PECOS PAC ID: 2860485638 Enrollment ID: O20040407000120 |
| Mailing Address | Practice Location Address |
|---|---|
| Stefanie Leann Kissick, LCSW 1502 N Jefferson St, Carrollton, MO 64633-1948 Ph: (660) 542-1695 | Stefanie Leann Kissick, LCSW 1502 N Jefferson St, Carrollton, MO 64633-1948 Ph: (660) 542-1695 |
Cynthia Lynne Cauble, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1502 N Jefferson St, Carrollton, MO 64633 Phone: 660-542-1695 | |
Andrea Marie Liebhart, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 84, Carrollton, MO 64633 Phone: 660-631-8752 | |
Mrs. Dana J Livsey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 305 N Mason St, Carrollton, MO 64633 Phone: 660-542-1403 |