Peggy Stark, LCSW | |
320 Mac Blvd, Nevada, MO 64772-3990 | |
(888) 403-1071 | |
(417) 667-6515 |
Full Name | Peggy Stark |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 320 Mac Blvd, Nevada, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730605999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2020008501 (Missouri) | Primary |
Entity Name | Compass Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955 |
Mailing Address | Practice Location Address |
---|---|
Peggy Stark, LCSW 1800 Community, Clinton, MO 64735-8804 Ph: (660) 885-8131 | Peggy Stark, LCSW 320 Mac Blvd, Nevada, MO 64772-3990 Ph: (888) 403-1071 |
Chris F Thomas, PLCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 815 S Ash St, Nevada, MO 64772 Phone: 417-667-8352 Fax: 417-667-9216 | |
Dewey Michael Morris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-667-2666 Fax: 417-448-5687 | |
Jessica Marie La Falce, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 320 Mac Blvd, Nevada, MO 64772 Phone: 888-403-1071 | |
Tiffany Ann Pruitt, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 210 S Elm St, Nevada, MO 64772 Phone: 417-684-2644 Fax: 417-682-5757 | |
Jennifer Elizabeth Corbin-daulton, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-667-2666 Fax: 417-448-5683 | |
Callie Randel, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-667-2666 Fax: 417-448-5606 | |
Mr. Harley V Gullett, ACSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 S Prewitt St, Nevada, MO 64772 Phone: 417-667-8700 Fax: 417-667-7382 |