| Lcsw, Inc | |
|
12600 E 40 Hwy Independence MO 64055-5955 | |
| (816) 753-3333 | |
| (816) 478-8888 |
| Full Name | Lcsw, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12600 E 40 Hwy, Independence, Missouri |
| Authorized Official Name and Position | Patricia L Martell (PRESIDENT) |
| Authorized Official Contact | 8164014976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lcsw, Inc 420 E 73rd St Kansas City MO 64131-1621 Ph: (816) 361-3019 | Lcsw, Inc 12600 E 40 Hwy Independence MO 64055-5955 Ph: (816) 753-3333 |
| NPI Number | 1306162227 |
|---|---|
| Provider Enumeration Date | 04/16/2010 |
| Last Update Date | 04/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306162227 | NPI | - | NPPES |
| 1346270378 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 003342 (Missouri) | Primary |
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