Jennifer Elizabeth Corbin-daulton, LMSW | |
1500 W Ashland St, Nevada, MO 64772-1710 | |
(417) 667-2666 | |
(417) 448-5683 |
Full Name | Jennifer Elizabeth Corbin-daulton |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1500 W Ashland St, Nevada, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205119013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2011022369 (Missouri) | Primary |
Entity Name | Authenticity Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437831310 PECOS PAC ID: 5991155392 Enrollment ID: O20231227003017 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Elizabeth Corbin-daulton, LMSW 1500 W. Ashland, Nevada, MO 64772 Ph: (417) 667-2666 | Jennifer Elizabeth Corbin-daulton, LMSW 1500 W Ashland St, Nevada, MO 64772-1710 Ph: (417) 667-2666 |
Chris F Thomas, PLCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 815 S Ash St, Nevada, MO 64772 Phone: 417-667-8352 Fax: 417-667-9216 | |
Dewey Michael Morris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-667-2666 Fax: 417-448-5687 | |
Jessica Marie La Falce, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 320 Mac Blvd, Nevada, MO 64772 Phone: 888-403-1071 | |
Tiffany Ann Pruitt, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 210 S Elm St, Nevada, MO 64772 Phone: 417-684-2644 Fax: 417-682-5757 | |
Callie Randel, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-667-2666 Fax: 417-448-5606 | |
Mr. Harley V Gullett, ACSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 S Prewitt St, Nevada, MO 64772 Phone: 417-667-8700 Fax: 417-667-7382 |