| Claycie Gerlt LLC | |
|
830 Green Lantern Ln Ballwin MO 63011 | |
| (314) 656-6510 | |
| Not Available |
| Full Name | Claycie Gerlt LLC |
|---|---|
| Speciality | Social Worker |
| Location | 830 Green Lantern Ln, Ballwin, Missouri |
| Authorized Official Name and Position | David Shahzad (MANSGER) |
| Authorized Official Contact | 3146566510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Claycie Gerlt LLC 830 Green Lantern Ln Ballwin MO 63011 Ph: (314) 656-6510 | Claycie Gerlt LLC 830 Green Lantern Ln Ballwin MO 63011 Ph: (314) 656-6510 |
| NPI Number | 1891582854 |
|---|---|
| Provider Enumeration Date | 04/23/2025 |
| Last Update Date | 04/23/2025 |
| Certification Date | 04/23/2025 |
| Medicare PECOS PAC ID | 1153820865 |
|---|---|
| Medicare Enrollment ID | O20250819003328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891582854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
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