Ms Carol Jo Taliaferro, LCSW | |
12647 Olive Blvd, Suite 600, Saint Louis, MO 63141-6393 | |
(314) 744-4100 | |
Not Available |
Full Name | Ms Carol Jo Taliaferro |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 12647 Olive Blvd, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043484488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 36429 (Texas) | Primary |
Entity Name | Legacy Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902149776 PECOS PAC ID: 0042458200 Enrollment ID: O20130529000542 |
Mailing Address | Practice Location Address |
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Ms Carol Jo Taliaferro, LCSW 1111 Southcreek Dr, Apt. 416, Round Rock, TX 78664-7163 Ph: (512) 350-3851 | Ms Carol Jo Taliaferro, LCSW 12647 Olive Blvd, Suite 600, Saint Louis, MO 63141-6393 Ph: (314) 744-4100 |
Deborah Molly Levin, LCSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10411 Clayton Rd Ste 305, Saint Louis, MO 63131 Phone: 314-378-7548 | |
Ms. Jennifer Marie Dunn, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6533 Scanlan Ave, Saint Louis, MO 63139 Phone: 314-550-5598 | |
Ms. Phoebe Sue Pinkerton, LCSW MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3820 N 14th St, Saint Louis, MO 63107 Phone: 314-477-3165 Fax: 314-921-9834 | |
Susan Gilmor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Jefferson Barracks Dr, Saint Louis, MO 63125 Phone: 314-652-4100 | |
Arie Baker, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Pl, Campus Box 8116, Saint Louis, MO 63110 Phone: 314-747-6169 Fax: 314-454-2252 | |
Emilee Lauren Burns, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5501 Delmar Blvd Ste B300, Saint Louis, MO 63112 Phone: 314-628-6205 | |
Patricia Anne Baca, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 621 S New Ballas Rd Ste 6017b, Saint Louis, MO 63141 Phone: 314-251-7840 |