Amy M Blake, MSW, LCSW | |
980 Parkside Village Ln, Osage Beach, MO 65065-3098 | |
(884) 031-0718 | |
(573) 302-7369 |
Full Name | Amy M Blake |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 980 Parkside Village Ln, Osage Beach, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164407367 | NPI | - | NPPES |
498800705 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2003012111 (Missouri) | Primary |
Entity Name | Compass Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955 |
Mailing Address | Practice Location Address |
---|---|
Amy M Blake, MSW, LCSW 1800 Community, Clinton, MO 64735-8804 Ph: (660) 885-8131 | Amy M Blake, MSW, LCSW 980 Parkside Village Ln, Osage Beach, MO 65065-3098 Ph: (884) 031-0718 |
Mrs. Suzanne Marie Mericle, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1191 State Highway Kk, Suite 101, Osage Beach, MO 65065 Phone: 573-302-7241 | |
Jennifer Hernandez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 980 Parkside Village Ln, Osage Beach, MO 65065 Phone: 844-853-8937 | |
Whitney Jean Hull, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 980 Parkside Village Ln, Osage Beach, MO 65065 Phone: 844-853-8937 | |
Theresa Welch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1191 State Hwy Kk, Suite 101, Osage Beach, MO 65065 Phone: 573-302-7241 Fax: 573-302-7239 |