Christine Kane Bertolino, MSW, LCSW | |
8772 Big Bend Blvd, Webster Groves, MO 63119-3730 | |
(314) 962-7788 | |
Not Available |
Full Name | Christine Kane Bertolino |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 8772 Big Bend Blvd, Webster Groves, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295307692 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 004803 (Missouri) | Primary |
Entity Name | Creative Change, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760515498 PECOS PAC ID: 4082714092 Enrollment ID: O20070705000115 |
Mailing Address | Practice Location Address |
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Christine Kane Bertolino, MSW, LCSW 8772 Big Bend Blvd, Webster Groves, MO 63119-3730 Ph: (314) 962-7788 | Christine Kane Bertolino, MSW, LCSW 8772 Big Bend Blvd, Webster Groves, MO 63119-3730 Ph: (314) 962-7788 |
Ai Ling Moore, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 330 N Gore Ave, Webster Groves, MO 63119 Phone: 314-978-2060 | |
Laura Lewis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 758 Chamberlain Pl, Webster Groves, MO 63119 Phone: 314-690-3164 | |
Kathryn Randle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8772 Big Bend Blvd, Webster Groves, MO 63119 Phone: 314-962-7788 | |
Mr. James W Herz, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 504 Greeley Ave, Webster Groves, MO 63119 Phone: 314-968-0460 | |
Savannah Squires, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16 N Gore Ave Ste 202, Webster Groves, MO 63119 Phone: 314-596-2049 | |
Mrs. Mary Patrice Banton, M.ED., LPC, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 330 N Gore Ave, Webster Groves, MO 63119 Phone: 314-619-4729 Fax: 314-919-4850 | |
Bethany Nicole Mcnew, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 N Elm Ave, Webster Groves, MO 63119 Phone: 314-961-5718 |