| Cornerstone Care Management, Llc | |
|
6702 Keaton Corporate Pkwy Ste 103 O Fallon MO 63368-8630 | |
| (314) 283-5599 | |
| Not Available |
| Full Name | Cornerstone Care Management, Llc |
|---|---|
| Speciality | Counselor |
| Location | 6702 Keaton Corporate Pkwy Ste 103, O Fallon, Missouri |
| Authorized Official Name and Position | Kathryn M Worzel (OWNER) |
| Authorized Official Contact | 3142835599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Care Management, Llc 6702 Keaton Corporate Pkwy Ste 103 O Fallon MO 63368-8630 Ph: (314) 283-5599 | Cornerstone Care Management, Llc 6702 Keaton Corporate Pkwy Ste 103 O Fallon MO 63368-8630 Ph: (314) 283-5599 |
| NPI Number | 1699308080 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 12/26/2023 |
| Certification Date | 12/26/2023 |
| Medicare PECOS PAC ID | 0749610079 |
|---|---|
| Medicare Enrollment ID | O20200428001580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699308080 | NPI | - | NPPES |
| Provider Name | Kathryn Marie Worzel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518973874 PECOS PAC ID: 1658701982 Enrollment ID: I20200428001684 |
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