Mr Glenn Richard Mcgowan, MA is a
Social Worker - Clinical based in St Louis, Missouri. Mr Glenn Richard Mcgowan is licensed to practice in Missouri (license number SW002614) and his current practice location is
717 Union Rd, St Louis, Missouri. He can be reached at his office (for appointments etc.) via phone at
(314) 638-9011.
NPI number for Mr Glenn Richard Mcgowan is 1649311481 and his current mailing address is 717 Union Rd, St Louis, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649311481.
Healthcare Provider's Profile
| Full Name | Mr Glenn Richard Mcgowan |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 717 Union Rd, St Louis, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1649311481
- Provider Enumeration Date: 02/12/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Glenn Richard Mcgowan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649311481 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10284 (Illinois) | Primary |
| 101YM0800X | Counselor - Mental Health | NCGC371-19 (Missouri) | Primary |
| 1041C0700X | Social Worker - Clinical | SW002614 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Glenn Richard Mcgowan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Glenn Richard Mcgowan, MA
717 Union Rd,
St Louis, MO 63123-6720
Ph: (314) 638-9011 | Mr Glenn Richard Mcgowan, MA
717 Union Rd,
St Louis, MO 63123-6720
Ph: (314) 638-9011 |
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