Mr Jerry Dale Wilmath, LCSW LPC is a
Social Worker - Clinical based in Poplar Bluff, Missouri. Mr Jerry Dale Wilmath is licensed to practice in Missouri (license number 003564) and his current practice location is
2024 N 14, Poplar Bluff, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 718-9315.
NPI number for Mr Jerry Dale Wilmath is 1447267299 and his current mailing address is 2024 N 14, Poplar Bluff, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447267299.
Healthcare Provider's Profile
Full Name | Mr Jerry Dale Wilmath |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 2024 N 14, Poplar Bluff, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447267299
- Provider Enumeration Date: 08/02/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mr Jerry Dale Wilmath such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447267299 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | LPC000167 (Missouri) | Primary |
1041C0700X | Social Worker - Clinical | 003564 (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 Jerry Dale Wilmath 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 Jerry Dale Wilmath, LCSW LPC 2024 N 14, Poplar Bluff, MO 63901 Ph: (573) 718-9315 | Mr Jerry Dale Wilmath, LCSW LPC 2024 N 14, Poplar Bluff, MO 63901 Ph: (573) 718-9315 |
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