| Ms Theresa M Owens, MSW | |
|
3114 Sutton Blvd, Maplewood, MO 63143-3910 | |
| (314) 781-7900 | |
| (314) 781-7914 |
| Full Name | Ms Theresa M Owens |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 45 Years |
| Location | 3114 Sutton Blvd, Maplewood, Missouri |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275686578 | NPI | - | NPPES |
| 0050046694 | Other | MO | MHNET |
| 113456 | Other | MO | MERCY UNITY |
| 167552 | Other | MO | ANTHAM BCBS |
| 0791113 | Other | MO | BSHCN TBI CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 002875 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bridges Community Support Services | 2961418629 | 7 |
| Entity Name | Bridges Community Support Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427226612 PECOS PAC ID: 2961418629 Enrollment ID: O20060306000008 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Theresa M Owens, MSW 3114 Sutton Blvd, Maplewood, MO 63143-3910 Ph: (314) 781-7900 | Ms Theresa M Owens, MSW 3114 Sutton Blvd, Maplewood, MO 63143-3910 Ph: (314) 781-7900 |
Mrs. Dana J Mchugh, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3114 Sutton Blvd, Maplewood, MO 63143 Phone: 314-781-7900 Fax: 314-781-7914 | |
Loren Gaillardetz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3008 Sutton Blvd Ste 200, Maplewood, MO 63143 Phone: 314-328-4402 | |
Jillayna Adamson, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3134 Sutton Blvd, Maplewood, MO 63143 Phone: 314-301-9931 | |
Rebekah May Larson, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3134 Sutton Blvd, Maplewood, MO 63143 Phone: 314-881-8410 Fax: 888-717-4730 | |
Mary Katherine Crook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3134 Sutton Blvd, Ste. 4, Maplewood, MO 63143 Phone: 314-529-1860 | |
Rachael Carr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3134 Sutton Blvd, Maplewood, MO 63143 Phone: 314-881-8482 |