| Ya'lita Williams Thompson, LCSW | |
|
806 Medical Park Dr, Mexico, MO 65265-3728 | |
| (573) 485-5343 | |
| (573) 943-0179 |
| Full Name | Ya'lita Williams Thompson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 806 Medical Park Dr, Mexico, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073270351 | NPI | - | NPPES |
| 490107674 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2024016862 (Missouri) | Primary |
| Entity Name | East Central Missouri Behavioral Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144293549 PECOS PAC ID: 5395659403 Enrollment ID: O20031113000501 |
| Mailing Address | Practice Location Address |
|---|---|
| Ya'lita Williams Thompson, LCSW 806 Medical Park Dr, Mexico, MO 65265-3728 Ph: (573) 485-5343 | Ya'lita Williams Thompson, LCSW 806 Medical Park Dr, Mexico, MO 65265-3728 Ph: (573) 485-5343 |
Kristen Ann Fishback, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 | |
Patricia Ann Erwin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 | |
Paula Reecht, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 321 W Promenade St, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 | |
Mrs. Kelly Rae Staddie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 734 W Monroe St, Mexico, MO 65265 Phone: 573-642-5345 Fax: 573-642-5162 | |
Ms. Katherine C Sims, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 116 S Jefferson St, Mexico, MO 65265 Phone: 573-582-0292 Fax: 573-581-6036 | |
Cynthia Mae Mackey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 |