| Amanda Cowart Derham, LCSW | |
|
1300 E Bradford Pkwy, Springfield, MO 65804 | |
| (417) 761-5000 | |
| (417) 761-5065 |
| Full Name | Amanda Cowart Derham |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 20 Years |
| Location | 1300 E Bradford Pkwy, Springfield, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477049930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2006025361 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advocates For A Healthy Community Inc | 5395653562 | 58 |
| Entity Name | Advocates For A Healthy Community Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558303057 PECOS PAC ID: 5395653562 Enrollment ID: O20041109000631 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Cowart Derham, LCSW 1300 E Bradford Pkwy, Springfield, MO 65804-4264 Ph: (417) 761-5000 | Amanda Cowart Derham, LCSW 1300 E Bradford Pkwy, Springfield, MO 65804 Ph: (417) 761-5000 |
Mrs. Rebecca J Barratt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2131 S Eastgate Ave, Springfield, MO 65809 Phone: 417-763-3309 Fax: 417-763-3331 | |
Mrs. Lori Renee Radford, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1041 E Walnut St, Springfield, MO 65806 Phone: 417-459-2117 | |
Stephanie J Robbins, MS, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1350 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5850 | |
Jennifer Mcmichael, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3854 South Ave, Springfield, MO 65807 Phone: 417-215-2828 | |
Brooke Glaszczak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3827 S Timbercreek Ave, Springfield, MO 65807 Phone: 417-507-2407 | |
Brian Vega, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1531 E Sunshine St, Ste W-29, Springfield, MO 65804 Phone: 417-887-9950 Fax: 417-888-0226 | |
Linda L. Britt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 636 W Republic Rd Ste G100, Springfield, MO 65807 Phone: 417-862-8282 Fax: 417-862-8805 |