Mr Christian Everett Gray, LCSW | |
402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | |
(573) 334-1100 | |
(573) 651-4345 |
Full Name | Mr Christian Everett Gray |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 402 S Silver Springs Rd, Cape Girardeau, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679178602 | NPI | - | NPPES |
490090992 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2023000902 (Missouri) | Primary |
Entity Name | Community Counseling Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235244757 PECOS PAC ID: 9436142460 Enrollment ID: O20040415000678 |
Mailing Address | Practice Location Address |
---|---|
Mr Christian Everett Gray, LCSW 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 Ph: (573) 334-1100 | Mr Christian Everett Gray, LCSW 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 Ph: (573) 334-1100 |
Maggie Buckley, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-5153 | |
Connie Schuessler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 402 S Silver Springs Rd, Cape Girardeau, MO 63703 Phone: 573-334-1100 Fax: 573-334-8819 | |
Ms. Rebecca Joyce Heisserer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2909 Independence St, Cape Girardeau, MO 63703 Phone: 573-803-1402 Fax: 573-803-1405 | |
Miss Bridget Ann Boley, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 402 S Silver Springs Rd, Cape Girardeau, MO 63703 Phone: 573-334-1100 Fax: 573-651-4345 | |
Mrs. Patricia Dianne Hodges, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 402 S Silver Springs Rd, Cape Girardeau, MO 63703 Phone: 573-334-1100 Fax: 573-651-4345 | |
Bailey J Debus, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 402 S Silver Springs Rd, Cape Girardeau, MO 63703 Phone: 573-334-1100 Fax: 573-651-4345 | |
Angela Bianca Pullen Yant, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 619 N Broadview St, Cape Girardeau, MO 63701 Phone: 573-334-3486 Fax: 573-334-3524 |