Jonathan Rieck, LCSW | |
107 W 9th St, Kansas City, MO 64105-1705 | |
(314) 827-5258 | |
Not Available |
Full Name | Jonathan Rieck |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 107 W 9th St, Kansas City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033895214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2022006642 (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 |
---|---|
Jonathan Rieck, LCSW 107 W 9th St, Kansas City, MO 64105-1705 Ph: (314) 827-5258 | Jonathan Rieck, LCSW 107 W 9th St, Kansas City, MO 64105-1705 Ph: (314) 827-5258 |
Mrs. Jessica Woodruff, PLCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9700 Grandview Rd, Kansas City, MO 64137 Phone: 816-508-3400 Fax: 816-508-3425 | |
Ms. Nancy S. Wolff, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10918 Elm Ave Ste 102, Kansas City, MO 64134 Phone: 816-765-6600 | |
Mrs. Holly Jackson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 511 W 86th Ter, Kansas City, MO 64114 Phone: 816-377-6872 | |
Carol Thoma-perry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 516 E 66th Ter, Kansas City, MO 64131 Phone: 816-803-1937 | |
Abigail Tomczuk, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3100 Ne 83rd St, Kansas City, MO 64119 Phone: 816-468-0400 | |
Maryana I. Lopez, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 W 19th Ter, Kansas City, MO 64108 Phone: 816-404-6745 | |
Mrs. Kristine Vince, LCSW, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 E 59th St, Kansas City, MO 64113 Phone: 816-363-1898 Fax: 816-822-7711 |