Ms Georgetta Jean Hull, LCSW | |
340 Kelley Pkwy, Mexico, MO 65265-3811 | |
(573) 582-1234 | |
(573) 582-1212 |
Full Name | Ms Georgetta Jean Hull |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 340 Kelley Pkwy, Mexico, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215912571 | NPI | - | NPPES |
2001024583 | Other | MS | MO. STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2001024583 (Missouri) | Primary |
Entity Name | East Central Missouri Behavioral Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144293549 PECOS PAC ID: 5395659403 Enrollment ID: O20031113000501 |
Mailing Address | Practice Location Address |
---|---|
Ms Georgetta Jean Hull, LCSW 340 Kelley Pkwy, Mexico, MO 65265-3811 Ph: (573) 582-1234 | Ms Georgetta Jean Hull, LCSW 340 Kelley Pkwy, Mexico, MO 65265-3811 Ph: (573) 582-1234 |
Kristen Ann Fishback, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 | |
Patricia Ann Erwin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 | |
Paula Reecht, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 321 W Promenade St, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 | |
Mrs. Kelly Rae Staddie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 734 W Monroe St, Mexico, MO 65265 Phone: 573-642-5345 Fax: 573-642-5162 | |
Ms. Katherine C Sims, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 116 S Jefferson St, Mexico, MO 65265 Phone: 573-582-0292 Fax: 573-581-6036 | |
Cynthia Mae Mackey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 | |
Virginia J Caputy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 321 W Promenade St, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 |