| Richard L Welch, Lcsw, Llc | |
|
409 Se Douglas St Lees Summit MO 64063-4246 | |
| (816) 365-4070 | |
| Not Available |
| Full Name | Richard L Welch, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 409 Se Douglas St, Lees Summit, Missouri |
| Authorized Official Name and Position | Richard Lin Welch (COUNSELOR/PSYCHOTHERAPIST) |
| Authorized Official Contact | 6606244909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L Welch, Lcsw, Llc 411 Swallow St Warrensburg MO 64093-2870 Ph: (660) 624-4909 | Richard L Welch, Lcsw, Llc 409 Se Douglas St Lees Summit MO 64063-4246 Ph: (816) 365-4070 |
| NPI Number | 1912519935 |
|---|---|
| Provider Enumeration Date | 08/20/2020 |
| Last Update Date | 08/20/2020 |
| Certification Date | 08/20/2020 |
| Medicare PECOS PAC ID | 2961820675 |
|---|---|
| Medicare Enrollment ID | O20200911002765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912519935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Richard Lin Welch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194128504 PECOS PAC ID: 3678793890 Enrollment ID: I20141009001759 |
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