Carol Ruth Childers, MSW, LCSW | |
252 Jupiter Rd, Camdenton, MO 65020-4442 | |
(909) 224-2069 | |
Not Available |
Full Name | Carol Ruth Childers |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 252 Jupiter Rd, Camdenton, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396993275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS13133 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 2004029296 (Missouri) | Primary |
Entity Name | Midamericare Limited Liability Company |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922322676 PECOS PAC ID: 4284768516 Enrollment ID: O20100823000111 |
Entity Name | Bmsc Az Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497201875 PECOS PAC ID: 4385929173 Enrollment ID: O20191220000865 |
Mailing Address | Practice Location Address |
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Carol Ruth Childers, MSW, LCSW Po Box 1262, Sunrise Beach, MO 65079-1262 Ph: (909) 224-2069 | Carol Ruth Childers, MSW, LCSW 252 Jupiter Rd, Camdenton, MO 65020-4442 Ph: (909) 224-2069 |
Ms. Crystal Brown, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 741 N Business Route 5, Camdenton, MO 65020 Phone: 888-403-1071 | |
Deanna Stock, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 30 Lakeview Drive, Camdenton, MO 65020 Phone: 573-814-6580 | |
Bonnie Sue Guier, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 741 N. State Hwy 5, Camdenton, MO 65020 Phone: 888-403-1071 | |
Megan J Wagner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 Primrose Ln, Camdenton, MO 65020 Phone: 573-421-2065 |