Mrs Melissa D Douglass, MSW, LCSW | |
1855 Chateau Du Mont Dr, Florissant, MO 63031-1053 | |
(314) 616-6211 | |
Not Available |
Full Name | Mrs Melissa D Douglass |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1855 Chateau Du Mont Dr, Florissant, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164968772 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2016031528 (Missouri) | Primary |
Entity Name | Douglass Enterprises Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659842433 PECOS PAC ID: 7517290372 Enrollment ID: O20190610002300 |
Mailing Address | Practice Location Address |
---|---|
Mrs Melissa D Douglass, MSW, LCSW 1855 Chateau Du Mont Dr, Florissant, MO 63031-1053 Ph: (314) 616-6211 | Mrs Melissa D Douglass, MSW, LCSW 1855 Chateau Du Mont Dr, Florissant, MO 63031-1053 Ph: (314) 616-6211 |
Mckenzie Rein Gamache, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1150 Graham Rd, Florissant, MO 63031 Phone: 314-206-3900 | |
Mrs. Mildred Elizabeth Fortune-gilpin, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1150 Graham Rd, Florissant, MO 63031 Phone: 314-206-3900 Fax: 314-206-3992 | |
Tiffany Atkinson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1150 Graham Rd, Florissant, MO 63031 Phone: 314-206-3900 | |
Ms. Jessica Rae Strassner, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2705 Mullanphy Ln, Florissant, MO 63031 Phone: 314-830-6205 Fax: 314-830-6257 | |
Mykia Brooks, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1150 Graham Rd Ste 102, Florissant, MO 63031 Phone: 314-463-1089 | |
Sarah Steward, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1150 Graham Rd, Florissant, MO 63031 Phone: 314-206-3900 | |
Kathleen Cora Verbeck, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1150 Graham Rd, Florissant, MO 63031 Phone: 314-206-3700 |