| Sue Ellen Myers, | |
| 
					8548 Jade Road, Kingdom City, MO 65262  | |
| (573) 642-5345 | |
| (573) 642-5345 | 
| Full Name | Sue Ellen Myers | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 8548 Jade Road, Kingdom City, Missouri | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1992869432 | NPI | - | NPPES | 
| 495246308 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2002006591 (Missouri) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sue Ellen Myers, 1012 Greystone Ct, Fulton, MO 65251-1297 Ph: (573) 642-5345  | Sue Ellen Myers, 8548 Jade Road, Kingdom City, MO 65262 Ph: (573) 642-5345  | 
Stacie Smithee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8548 Jade Road, Kingdom City, MO 65262 Phone: 573-642-5345 Fax: 573-642-5345  | |
Lydia Allison, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8548 Jade Road, Kingdom City, MO 65262 Phone: 573-642-5345  | |
Margaret Erin Griffith, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8548 Jade Road, Kingdom City, MO 65262 Phone: 573-642-5345  |