| Joan Cassilly Petersen, LCSW | |
|
Personal Potentials, Inc., 10000 Watson Rd #2l18, St Louis, MO 63126 | |
| (314) 822-4727 | |
| (314) 822-0531 |
| Full Name | Joan Cassilly Petersen |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | Personal Potentials, Inc., St Louis, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003925876 | NPI | - | NPPES |
| 005794000 | Other | MBH NETWORK PROVIDER | |
| 064401 | Other | V/O NETWORK PROVIDER | |
| 6122 | Other | BCBS NETWORK PROVIDER | |
| 111252 | Other | A/B NETWORK PROVIDER | |
| 185524 | Other | COMPSYCH NETWORK PROVIDER | |
| 493289102 | Medicaid | MO | |
| 6267853 | Other | UBH NETWORK PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 000296 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Joan Cassilly Petersen, LCSW Personal Potentials, Inc., 10000 Watson Rd #2l18, St Louis, MO 63126 Ph: (314) 822-4727 | Joan Cassilly Petersen, LCSW Personal Potentials, Inc., 10000 Watson Rd #2l18, St Louis, MO 63126 Ph: (314) 822-4727 |
Mrs. Deborah Ann Wiser, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12882 Manchester Road, Suite 201, St Louis, MO 63131 Phone: 314-863-9912 Fax: 314-863-9918 | |
Ms. Denise Marie Larnell, MED LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9378 Olive, Ste 316, St Louis, MO 63132 Phone: 314-995-2641 | |
Judith Ann Hoffman, MSW LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4625 Lindell Blvd, Suite 315, St Louis, MO 63108 Phone: 314-361-4227 Fax: 314-361-8442 | |
Ms. Veva Theresa Truex, MA PLPC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10950 Schuetz Road, St Louis, MO 63146 Phone: 314-993-1000 Fax: 314-812-9398 | |
Ms. Christiane A Kropp, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7396 Pershing Ave, St Louis, MO 63130 Phone: 314-725-5519 Fax: 314-727-2260 | |
Ms. Charlene Ann Warner, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7401 Wellington Ave, St Louis, MO 63130 Phone: 314-725-5277 Fax: 314-725-5277 |