| Max J Phillips, LCSW | |
|
705 E Laharpe St, Suite C, Kirksville, MO 63501-4556 | |
| (660) 988-9669 | |
| (660) 280-2965 |
| Full Name | Max J Phillips |
|---|---|
| Gender | |
| Speciality | Social Worker - Clinical |
| Location | 705 E Laharpe St, Kirksville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346839271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2020038772 (Missouri) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2023001049 (Missouri) | Primary |
| Entity Name | Grow Counseling Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750848032 PECOS PAC ID: 1658719968 Enrollment ID: O20240405001330 |
| Mailing Address | Practice Location Address |
|---|---|
| Max J Phillips, LCSW Po Box 924, Kirksville, MO 63501-0924 Ph: (417) 689-2565 | Max J Phillips, LCSW 705 E Laharpe St, Suite C, Kirksville, MO 63501-4556 Ph: (660) 988-9669 |
Tracy Francis, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1101 Jamison St, Kirksville, MO 63501 Phone: 660-665-1962 Fax: 660-627-0642 | |
Taleka D Vanskike, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Pfeiffer Ave, Kirksville, MO 63501 Phone: 660-665-4612 Fax: 660-665-4635 | |
Rachael Holton, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Pfeiffer Ave, Kirksville, MO 63501 Phone: 660-665-4612 | |
Sarah Nicole Thomas, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1508 Crown Dr, Kirksville, MO 63501 Phone: 660-627-3621 Fax: 660-627-5798 | |
Hannah Busung Kwon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 E Normal Ave, Kirksville, MO 63501 Phone: 660-785-4014 | |
Melinda J Flickinger, PLCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Pfeiffer Ave, Kirksville, MO 63501 Phone: 660-665-4635 Fax: 660-665-4612 | |
Christine Snelling, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 105 Pfeiffer Ave, Kirksville, MO 63501 Phone: 660-665-4612 |