Chanda L Herron, LCSW | |
500 Market St Ste 101, Fulton, MO 65251-2808 | |
(573) 591-1514 | |
(573) 642-0087 |
Full Name | Chanda L Herron |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 500 Market St Ste 101, Fulton, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225463490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2013032185 (Missouri) | Primary |
Entity Name | Preferred Family Healthcare, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649474206 PECOS PAC ID: 0244256246 Enrollment ID: O20051019000599 |
Mailing Address | Practice Location Address |
---|---|
Chanda L Herron, LCSW 500 Market St Ste 101, Fulton, MO 65251-2808 Ph: (573) 591-1514 | Chanda L Herron, LCSW 500 Market St Ste 101, Fulton, MO 65251-2808 Ph: (573) 591-1514 |
Debra Maddox Laurie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Market St Ste 101, Fulton, MO 65251 Phone: 573-246-6000 | |
Ms. Jennifer Hrebar-ihler, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2606 N Bluff St Ste 102a, Fulton, MO 65251 Phone: 573-721-9930 | |
Mrs. Karen L Souza, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-2269 | |
Lisa Haglund, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2606 N Bluff St Ste 102a, Fulton, MO 65251 Phone: 573-751-9930 Fax: 573-731-3390 | |
Anna Smart, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1318 Cedarwood Dr, Fulton, MO 65251 Phone: 573-220-1823 | |
Jennifer L Winingear, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 581 Commons Dr, Fulton, MO 65251 Phone: 573-582-1234 Fax: 573-582-1212 |