Mr Nicholas Alvin Simons-bracken, LCSW | |
668 Se Bayberry Ln Ste 101, Lees Summit, MO 64063-4366 | |
(816) 500-6436 | |
Not Available |
Full Name | Mr Nicholas Alvin Simons-bracken |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 668 Se Bayberry Ln Ste 101, Lees Summit, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235561366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2017011987 (Missouri) | Primary |
Entity Name | The Childrens Mercy Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851437719 PECOS PAC ID: 2466366026 Enrollment ID: O20031118000182 |
Mailing Address | Practice Location Address |
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Mr Nicholas Alvin Simons-bracken, LCSW 668 Se Bayberry Ln Ste 101, Lees Summit, MO 64063-4366 Ph: (816) 500-6436 | Mr Nicholas Alvin Simons-bracken, LCSW 668 Se Bayberry Ln Ste 101, Lees Summit, MO 64063-4366 Ph: (816) 500-6436 |
Christina Shaw Hyde, LMSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1260 Ne Windsor Dr, Lees Summit, MO 64086 Phone: 816-347-8777 | |
Hannah Loren Bisges, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1535 Ne Rice Rd, Lees Summit, MO 64086 Phone: 816-966-0900 Fax: 816-347-3200 | |
Mr. Robert Grey Endres, DSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1508 Sw White Ridge Dr, Lees Summit, MO 64081 Phone: 816-836-2920 Fax: 816-836-2923 | |
Ms. Amanda Anne Cornell, MSW, LCSW, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1555 Ne Rice Rd, Lees Summit, MO 64086 Phone: 816-966-0900 Fax: 816-347-3200 | |
Ms. Stacy Mays, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 Se Grand Ave, Suite B, Lees Summit, MO 64063 Phone: 816-581-3737 | |
Mrs. Connie Mae Putthoff, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 901 Ne Independence Ave, Lees Summit, MO 64086 Phone: 816-347-3017 Fax: 816-246-8207 | |
Camille A Davis, LCSW, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9 Se 3rd St Ste 206, Lees Summit, MO 64063 Phone: 316-807-1365 |