Ms Kelly Crismon, LCSW is a
Social Worker based in Saint Louis, Missouri. Ms Kelly Crismon is licensed to practice in Missouri (license number 2017001452) and her current practice location is
4130 Lindell Blvd, Saint Louis, Missouri. She can be reached at her office (for appointments etc.) via phone at
(314) 535-5600.
NPI number for Ms Kelly Crismon is 1780112771 and her current mailing address is 9666 Olive Blvd, Saint Louis, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780112771.
Healthcare Provider's Profile
| Full Name | Ms Kelly Crismon |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 4130 Lindell Blvd, Saint Louis, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1780112771
- Provider Enumeration Date: 06/02/2017
- Last Update Date: 07/28/2023
Medical Identifiers
Medical identifiers for Ms Kelly Crismon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780112771 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 9880 (Missouri) | Secondary |
| 104100000X | Social Worker | 2017001452 (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. Ms Kelly Crismon 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 |
|---|
Ms Kelly Crismon, LCSW
9666 Olive Blvd,
Saint Louis, MO 63132-3013
Ph: (314) 527-3052 | Ms Kelly Crismon, LCSW
4130 Lindell Blvd,
Saint Louis, MO 63108-2914
Ph: (314) 535-5600 |
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