Mr Douglas Edward Sprouse, MASTERS IN SOCIAL WO is a
Social Worker - Clinical based in Saint Joseph, Missouri. Mr Douglas Edward Sprouse is licensed to practice in Missouri (license number 001033) and his current practice location is
3805 Oakland Avenue, Suite 102f, Saint Joseph, Missouri. He can be reached at his office (for appointments etc.) via phone at
(816) 671-9604.
NPI number for Mr Douglas Edward Sprouse is 1790837805 and his current mailing address is 3805 Oakland Avenue, Suite 102f, Saint Joseph, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790837805.
Healthcare Provider's Profile
| Full Name | Mr Douglas Edward Sprouse |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3805 Oakland Avenue, Saint Joseph, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790837805
- Provider Enumeration Date: 01/17/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Douglas Edward Sprouse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790837805 | NPI | - | NPPES |
| 19706028 | Other | | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 365 (Missouri) | Primary |
| 1041C0700X | Social Worker - Clinical | 001033 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Douglas Edward Sprouse is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Douglas Edward Sprouse, MASTERS IN SOCIAL WO
3805 Oakland Avenue, Suite 102f,
Saint Joseph, MO 64506
Ph: (816) 671-9604 | Mr Douglas Edward Sprouse, MASTERS IN SOCIAL WO
3805 Oakland Avenue, Suite 102f,
Saint Joseph, MO 64506
Ph: (816) 671-9604 |
Reviews and Comments