Lynda Kaye Nickle, LCSW | |
3322 S Campbell Ave Ste T-1, Springfield, MO 65807-4980 | |
(417) 220-4480 | |
(417) 414-0017 |
Full Name | Lynda Kaye Nickle |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3322 S Campbell Ave Ste T-1, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417178906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 002832 (Missouri) | Primary |
Entity Name | Elite Professional Providers, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891488433 PECOS PAC ID: 1254792740 Enrollment ID: O20230731003920 |
Mailing Address | Practice Location Address |
---|---|
Lynda Kaye Nickle, LCSW 3322 S Campbell Ave Ste T-1, Springfield, MO 65807-4980 Ph: (417) 220-4480 | Lynda Kaye Nickle, LCSW 3322 S Campbell Ave Ste T-1, Springfield, MO 65807-4980 Ph: (417) 220-4480 |
Mrs. Miriam E Green, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1330 E Cherry St, Springfield, MO 65802 Phone: 417-862-1377 | |
Renee Ann Jenkins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1550 E Sunshine St, Springfield, MO 65804 Phone: 417-883-7500 | |
Makayla Mae Stanton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 230 N Belcrest Ave, Suite A, Springfield, MO 65802 Phone: 417-413-4676 | |
Allison J Robertson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 323 E Grand St, Springfield, MO 65807 Phone: 417-761-5600 Fax: 417-761-5601 | |
Jessica A Aldrich, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1423 N Jefferson Ave Fl 3, Springfield, MO 65802 Phone: 417-761-5000 | |
Linda E Maddox, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3263 E Lombard St, Springfield, MO 65802 Phone: 417-860-3705 | |
Elizabeth Marie Mendenhall, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 440 S Market Ave, Springfield, MO 65806 Phone: 417-865-5581 |