Mrs Melissa L Black, MSW/LCSW | |
118 West Pine Plaza, Farmington, MO 63640 | |
(573) 701-0330 | |
(573) 701-0330 |
Full Name | Mrs Melissa L Black |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 21 Years |
Location | 118 West Pine Plaza, Farmington, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053424770 | NPI | - | NPPES |
497360107 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2005000353 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Behavioral Health Solutions Llc | 4385998954 | 52 |
Entity Name | Behavioral Health Solutions Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548765258 PECOS PAC ID: 4385998954 Enrollment ID: O20181116002509 |
Mailing Address | Practice Location Address |
---|---|
Mrs Melissa L Black, MSW/LCSW 118 West Pine Plaza, Farmington, MO 63640 Ph: (573) 701-0330 | Mrs Melissa L Black, MSW/LCSW 118 West Pine Plaza, Farmington, MO 63640 Ph: (573) 701-0330 |
Mrs. Wenona H Mickan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-747-2438 | |
Mrs. Julie Ann Downs, MSW/LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 118 West Pine Plaza, Farmington, MO 63640 Phone: 573-701-0330 Fax: 573-701-0330 | |
Deborah Lynn Bonham, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1269 Doctors Dr, Farmington, MO 63640 Phone: 573-664-1146 Fax: 573-664-1149 | |
Rachael Christine Holloway, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-756-5353 | |
William Jeffrey Jones, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-756-5353 | |
Misty Dawn Fowler, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-366-4659 |