| Swan Therapeutic Services, Llc | |
|
7001 Blue Ridge Blvd Raytown MO 64133-5629 | |
| (816) 966-0900 | |
| (816) 347-3029 |
| Full Name | Swan Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7001 Blue Ridge Blvd, Raytown, Missouri |
| Authorized Official Name and Position | Kristin Anne Coblentz Swan (OWNER) |
| Authorized Official Contact | 8165813737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swan Therapeutic Services, Llc 529 Se 2nd St Ste D Lees Summit MO 64063-2654 Ph: (816) 581-3737 | Swan Therapeutic Services, Llc 7001 Blue Ridge Blvd Raytown MO 64133-5629 Ph: (816) 966-0900 |
| NPI Number | 1912247214 |
|---|---|
| Provider Enumeration Date | 02/22/2013 |
| Last Update Date | 12/06/2022 |
| Certification Date | 12/06/2022 |
| Medicare PECOS PAC ID | 4486891090 |
|---|---|
| Medicare Enrollment ID | O20130517000515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912247214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2004032834 (Missouri) | Primary |
| Provider Name | Kristin A Coblentz Swan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407987662 PECOS PAC ID: 1557421542 Enrollment ID: I20081120000557 |
Adservior Mediation Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6220 Blue Ridge Cutoff, Ste. 204, Raytown, MO 64133 Phone: 816-737-1538 | |
Renu Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11112 East 71st Terrace, Raytown, MO 64133 Phone: 816-309-6018 | |
Brian E. Hill, Lscsw Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11009 E 85th St, Raytown, MO 64138 Phone: 785-829-5250 Fax: 785-893-6450 | |
Morgan Manor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11212 E 71st St, Raytown, MO 64133 Phone: 816-353-5274 Fax: 816-353-1226 | |
Clear Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10109 E 63rd St, Raytown, MO 64133 Phone: 816-533-6308 Fax: 816-662-7632 | |
Chrysalis Family Center For Development Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9500 E 63rd St, #108, Raytown, MO 64133 Phone: 816-960-7111 | |
Wildwood Cottage Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11212 E 71st St, Raytown, MO 64133 Phone: 816-353-5274 Fax: 816-353-1226 |