| Lutheran Family And Children's Services Of Missouri | |
|
9666 Olive Blvd St. Louis MO 63132 | |
| (314) 787-5100 | |
| (314) 754-2800 |
| Full Name | Lutheran Family And Children's Services Of Missouri |
|---|---|
| Speciality | Counselor |
| Location | 9666 Olive Blvd, St. Louis, Missouri |
| Authorized Official Name and Position | Paulette M Foerster (VICE PRESIDENT OF PROGRAMS) |
| Authorized Official Contact | 3147542776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Family And Children's Services Of Missouri 9666 Olive Blvd St. Louis MO 63132-3013 Ph: (314) 787-5100 | Lutheran Family And Children's Services Of Missouri 9666 Olive Blvd St. Louis MO 63132 Ph: (314) 787-5100 |
| NPI Number | 1427082395 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 03/23/2016 |
| Medicare PECOS PAC ID | 4082682927 |
|---|---|
| Medicare Enrollment ID | O20040920000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427082395 | NPI | - | NPPES |
| 990001149 | Other | MO | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Carol J Mack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356566293 PECOS PAC ID: 2163510785 Enrollment ID: I20071115000464 |
| Provider Name | Susan Gail Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326228271 PECOS PAC ID: 5092893255 Enrollment ID: I20080429000339 |
| Provider Name | Steven P Mishkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235398132 PECOS PAC ID: 5395817449 Enrollment ID: I20080707000181 |
| Provider Name | Patricia M Andrews-pierre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720570195 PECOS PAC ID: 3274886890 Enrollment ID: I20181030000538 |
| Provider Name | Charles R Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376144071 PECOS PAC ID: 3870992779 Enrollment ID: I20210526001243 |
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