Linda Vandivert, | |
20552 W 340th St, Bethany, MO 64424-8335 | |
(660) 425-5522 | |
Not Available |
Full Name | Linda Vandivert |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 20552 W 340th St, Bethany, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992261788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Midamericare Limited Liability Company |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922322676 PECOS PAC ID: 4284768516 Enrollment ID: O20100823000111 |
Entity Name | Evizzit Of Iowa Psychiatry Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740841188 PECOS PAC ID: 2860825924 Enrollment ID: O20200520002137 |
Mailing Address | Practice Location Address |
---|---|
Linda Vandivert, 20552 W 340th St, Bethany, MO 64424-8335 Ph: (660) 425-5522 | Linda Vandivert, 20552 W 340th St, Bethany, MO 64424-8335 Ph: (660) 425-5522 |
Ms. Donna May Hurt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2610 Grand Ave, Bethany, MO 64424 Phone: 660-425-4432 Fax: 660-425-4486 | |
Mrs. Cynthia Sue Butler, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4118 Miller St, Bethany, MO 64424 Phone: 660-425-6151 Fax: 660-425-6191 | |
Ms. Della Tracy, PLSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2610 Grand Ave, Bethany, MO 64424 Phone: 660-425-4432 Fax: 660-425-4486 | |
Ms. Laura L. Lane, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Miller St, Bethany, MO 64424 Phone: 660-425-0303 Fax: 660-425-8235 | |
Ms. Becky Elizabeth Vanness, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2610 Grand Ave, Bethany, MO 64424 Phone: 660-425-4432 Fax: 660-425-4486 |