Angela K Coulter, LCSW | |
3814 S. Cox Ave., Springfield, MO 65807 | |
(417) 766-5566 | |
(417) 269-7212 |
Full Name | Angela K Coulter |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3814 S. Cox Ave., Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235135153 | NPI | - | NPPES |
495979205 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 2002019366 (Missouri) | Primary |
Entity Name | Cultivating Wellness |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275199804 PECOS PAC ID: 1355670860 Enrollment ID: O20190909003566 |
Mailing Address | Practice Location Address |
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Angela K Coulter, LCSW 3814 S. Cox Ave., Springfield, MO 65807 Ph: (417) 766-5566 | Angela K Coulter, LCSW 3814 S. Cox Ave., Springfield, MO 65807 Ph: (417) 766-5566 |
Mrs. Miriam E Green, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1330 E Cherry St, Springfield, MO 65802 Phone: 417-862-1377 | |
Renee Ann Jenkins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1550 E Sunshine St, Springfield, MO 65804 Phone: 417-883-7500 | |
Makayla Mae Stanton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 230 N Belcrest Ave, Suite A, Springfield, MO 65802 Phone: 417-413-4676 | |
Allison J Robertson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 323 E Grand St, Springfield, MO 65807 Phone: 417-761-5600 Fax: 417-761-5601 | |
Jessica A Aldrich, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1423 N Jefferson Ave Fl 3, Springfield, MO 65802 Phone: 417-761-5000 | |
Linda E Maddox, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3263 E Lombard St, Springfield, MO 65802 Phone: 417-860-3705 | |
Elizabeth Marie Mendenhall, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 440 S Market Ave, Springfield, MO 65806 Phone: 417-865-5581 |