Mark Thomas Hale Jr, LCSW | |
255 Spencer Rd Ste 101, Saint Peters, MO 63376-2574 | |
(636) 939-2550 | |
(636) 939-2551 |
Full Name | Mark Thomas Hale Jr |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 255 Spencer Rd Ste 101, Saint Peters, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063977247 | NPI | - | NPPES |
201844613 | Other | MO | LICENSE |
2024017625 | Other | MO | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2024017625 (Missouri) | Primary |
Entity Name | Psychological & Behavioral Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20181204002777 |
Mailing Address | Practice Location Address |
---|---|
Mark Thomas Hale Jr, LCSW 255 Spencer Rd Ste 201, Saint Peters, MO 63376-2576 Ph: (636) 939-2550 | Mark Thomas Hale Jr, LCSW 255 Spencer Rd Ste 101, Saint Peters, MO 63376-2574 Ph: (636) 939-2550 |
Margaret Ann Roberts, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1306 Ticonderoga Dr, Saint Peters, MO 63376 Phone: 636-441-0320 | |
Antoinette Zvorak, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4905 Mexico Rd, Suite 300, Saint Peters, MO 63376 Phone: 636-928-5109 Fax: 636-441-1081 | |
Dr. Jerome Anderson, DSW, LCSW, BCD, CCFC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1719 Coupru Ct, Saint Peters, MO 63376 Phone: 314-651-4014 | |
Rebecca A Benes, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 Mexico Ct, Saint Peters, MO 63376 Phone: 844-853-8937 | |
Mary E Wenom, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1272 Jungermann Rd Ste C, Saint Peters, MO 63376 Phone: 636-928-5800 | |
Charles Horstmeier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4200 Cloverleaf Drive, Suite J- K, Saint Peters, MO 63376 Phone: 636-928-5109 Fax: 636-447-4678 |