Mrs Carol Jo Mack, LCSW | |
8631 Delmar Blvd, Saint Louis, MO 63124-1990 | |
(314) 787-5100 | |
(314) 754-2800 |
Full Name | Mrs Carol Jo Mack |
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Gender | Female |
Speciality | Clinical Social Worker |
Experience | 41 Years |
Location | 8631 Delmar Blvd, Saint Louis, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356566293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | 2003032210 (Missouri) | Primary |
Entity Name | Lutheran Family And Children's Services Of Missouri |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427082395 PECOS PAC ID: 4082682927 Enrollment ID: O20040920000431 |
Mailing Address | Practice Location Address |
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Mrs Carol Jo Mack, LCSW 2800 Elm St, Saint Charles, MO 63301-4618 Ph: (314) 787-5100 | Mrs Carol Jo Mack, LCSW 8631 Delmar Blvd, Saint Louis, MO 63124-1990 Ph: (314) 787-5100 |
Ms. Shirley Ann Wells, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3309 S. Kingshighway Blvd, Family Resource Center, Saint Louis, MO 63139 Phone: 314-534-1204 | |
Mr. Eric Scott Baile, M.DIV., MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 763 S New Ballas Rd, Suite 340, Saint Louis, MO 63141 Phone: 314-872-2972 Fax: 314-872-2975 | |
William Lagrand, LPC Counselor Medicare: Medicare Enrolled Practice Location: 9200 Watson Rd, Ste. G101, Saint Louis, MO 63126 Phone: 314-544-3800 Fax: 314-843-0552 | |
Mary Ann Williamson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7777 Bonhomme Ave, Suite 909, Saint Louis, MO 63105 Phone: 800-356-0845 | |
Erin Rachel Hendrickson, MAC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Hampton Ave, Saint Louis, MO 63139 Phone: 314-913-3691 | |
Bobby Joe Goodman, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5501 Delmar Blvd Ste B300, Saint Louis, MO 63112 Phone: 314-469-4908 | |
Andrew Bryan Conrad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10845 Olive Blvd Ste 150, Saint Louis, MO 63141 Phone: 314-561-9757 |