Delissa Cooper, | |
6440 Nieman Rd, Shawnee, KS 66203-3326 | |
(913) 826-4000 | |
(913) 826-1589 |
Full Name | Delissa Cooper |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 6440 Nieman Rd, Shawnee, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467862169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 05836 (Kansas) | Primary |
Entity Name | Johnson County Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174513444 PECOS PAC ID: 0547156903 Enrollment ID: O20051112000009 |
Mailing Address | Practice Location Address |
---|---|
Delissa Cooper, 6000 Lamar Ave, Suite 130, Mission, KS 66202-3234 Ph: (913) 826-4200 | Delissa Cooper, 6440 Nieman Rd, Shawnee, KS 66203-3326 Ph: (913) 826-4000 |
Leann M Smith, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6440 Nieman Rd, Shawnee, KS 66203 Phone: 913-962-9955 Fax: 913-826-1589 | |
Richard Bollig, LSCSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7405 Renner Rd, Shawnee, KS 66217 Phone: 913-588-3581 Fax: 913-588-8529 | |
Marty C Marty-scott, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6440 Nieman Rd, Shawnee, KS 66203 Phone: 913-962-9955 Fax: 913-826-1589 | |
Thomas Jerome Krebs, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6440 Nieman Rd, Shawnee, KS 66203 Phone: 913-962-9955 Fax: 913-826-1589 | |
Ms. Melissa Ann Morgan, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6440 Nieman Rd, Shawnee, KS 66203 Phone: 913-826-4000 | |
Michael Joseph Higgins, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6440 Nieman Rd, Shawnee, KS 66203 Phone: 913-962-9955 Fax: 913-826-1589 | |
Karen Greaves Calonge, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6440 Nieman Rd, Shawnee, KS 66203 Phone: 913-962-9955 Fax: 913-826-1589 |