Kristen Nicole Anderson, LCSW | |
30439 Flag Spring Rd, California, MO 65018-3110 | |
(573) 230-7576 | |
Not Available |
Full Name | Kristen Nicole Anderson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 30439 Flag Spring Rd, California, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275252066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2020042229 (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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Kristen Nicole Anderson, LCSW 30439 Flag Spring Rd, California, MO 65018-3110 Ph: (573) 230-7576 | Kristen Nicole Anderson, LCSW 30439 Flag Spring Rd, California, MO 65018-3110 Ph: (573) 230-7576 |
Mrs. Leanna April Fowlds, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 57109 Quentin Dr, California, MO 65018 Phone: 573-469-2433 Fax: 573-550-2436 | |
Jason R Hoffmeyer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 318 Oak St, California, MO 65018 Phone: 573-796-2431 | |
Dr. Amy Henderson, DPC, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1021 W Buchanan St Ste 6, California, MO 65018 Phone: 573-777-7501 |