| Cherese M. Alcorn, M.s.w., L.c.s.w., Llc | |
|
7750 Clayton Rd Ste 312 Richmond Heights MO 63117-1341 | |
| (314) 556-0009 | |
| (314) 492-0095 |
| Full Name | Cherese M. Alcorn, M.s.w., L.c.s.w., Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7750 Clayton Rd Ste 312, Richmond Heights, Missouri |
| Authorized Official Name and Position | Cherese M Alcorn (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3145560009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherese M. Alcorn, M.s.w., L.c.s.w., Llc 7750 Clayton Rd Ste 312 Richmond Heights MO 63117-1341 Ph: (314) 556-0009 | Cherese M. Alcorn, M.s.w., L.c.s.w., Llc 7750 Clayton Rd Ste 312 Richmond Heights MO 63117-1341 Ph: (314) 556-0009 |
| NPI Number | 1063918811 |
|---|---|
| Provider Enumeration Date | 04/02/2018 |
| Last Update Date | 03/31/2021 |
| Certification Date | 03/31/2021 |
| Medicare PECOS PAC ID | 2163824053 |
|---|---|
| Medicare Enrollment ID | O20210715000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063918811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Mary Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427006337 PECOS PAC ID: 5799738357 Enrollment ID: I20050224000037 |
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