Jessica Lynn Daniels, LCSW | |
508 Bayview Pointe Ct, Lake St Louis, MO 63367-4321 | |
(573) 647-6305 | |
Not Available |
Full Name | Jessica Lynn Daniels |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 508 Bayview Pointe Ct, Lake St Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417627910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2021020643 (Missouri) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210812000440 |
Mailing Address | Practice Location Address |
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Jessica Lynn Daniels, LCSW 508 Bayview Pointe Ct, Lake St Louis, MO 63367-4321 Ph: (573) 647-6305 | Jessica Lynn Daniels, LCSW 508 Bayview Pointe Ct, Lake St Louis, MO 63367-4321 Ph: (573) 647-6305 |
Debbie Sharp, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1000 Lake Saint Louis Blvd Ste 34, Lake St Louis, MO 63367 Phone: 636-422-8220 | |
Ms. Brittany Carter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3 Chartres Ct, Lake St Louis, MO 63367 Phone: 314-456-6199 | |
Ms. Allison Montgomery, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 721 High Point Dr, Lake St Louis, MO 63367 Phone: 636-466-5354 | |
Paige Courtney Enke, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1310 Hrc Plaza Dr, Lake St Louis, MO 63367 Phone: 636-277-9890 | |
Ms. Rebecca Corinne Turay, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 Lake Saint Louis Blvd, Ste 204, Lake St Louis, MO 63367 Phone: 636-561-5673 Fax: 636-639-6755 | |
Mark D Mehlig, D.MIN. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1000 Edgewater Point Drive Ste 401, Lake St Louis, MO 63367 Phone: 636-442-2612 Fax: 636-265-2905 |