Mallory Jordan Price, LCSW | |
16216 Baxter Rd Ste 205, Chesterfield, MO 63017-4778 | |
(636) 532-9188 | |
Not Available |
Full Name | Mallory Jordan Price |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 16216 Baxter Rd Ste 205, Chesterfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013584200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 2021017853 (Missouri) | Primary |
Entity Name | St. Louis Behavioral Medicine Institute Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487732335 PECOS PAC ID: 3173428638 Enrollment ID: O20031223000497 |
Mailing Address | Practice Location Address |
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Mallory Jordan Price, LCSW 2800 S Grand Blvd Apt 103, Saint Louis, MO 63118-1007 Ph: (636) 290-4441 | Mallory Jordan Price, LCSW 16216 Baxter Rd Ste 205, Chesterfield, MO 63017-4778 Ph: (636) 532-9188 |
Stacey Hensler-stone, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14226 Ladue Rd, Chesterfield, MO 63017 Phone: 314-205-1828 | |
Toni Richter, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16020 Swingley Ridge Rd, Ste 125, Chesterfield, MO 63017 Phone: 314-297-0116 | |
Margaret O'reilly Culver, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14323 S Outer 40, 607, Chesterfield, MO 63017 Phone: 314-603-1759 | |
Amy W Stried, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14377 Woodlake Dr, Suite #120, Chesterfield, MO 63341 Phone: 314-878-6488 Fax: 636-398-2323 | |
Ms. Nicole L. Gaines, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17295 Chesterfield Airport Rd Ste 200, Chesterfield, MO 63005 Phone: 314-921-1140 | |
Julie Humphrey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 16020 Swingley Ridge Rd, Chesterfield, MO 63017 Phone: 314-252-8683 |