| Robert E Anthony Lcsw Llc | |
|
6220 S Lindbergh Blvd Suite 201 Saint Louis MO 63123-7839 | |
| (314) 780-2132 | |
| (314) 894-2942 |
| Full Name | Robert E Anthony Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6220 S Lindbergh Blvd, Saint Louis, Missouri |
| Authorized Official Name and Position | Robert E Anthony (CLINICAL SOCIAL WORKER/OWNER) |
| Authorized Official Contact | 3147802132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E Anthony Lcsw Llc 6220 S Lindbergh Blvd Suite 201 Saint Louis MO 63123-7839 Ph: (314) 780-2132 | Robert E Anthony Lcsw Llc 6220 S Lindbergh Blvd Suite 201 Saint Louis MO 63123-7839 Ph: (314) 780-2132 |
| NPI Number | 1386064160 |
|---|---|
| Provider Enumeration Date | 04/21/2014 |
| Last Update Date | 01/05/2018 |
| Medicare PECOS PAC ID | 8527291210 |
|---|---|
| Medicare Enrollment ID | O20140505000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386064160 | NPI | - | NPPES |
| 497473405 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 002313 (Missouri) | Primary |
| Provider Name | Robert E Anthony |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366466229 PECOS PAC ID: 0749296218 Enrollment ID: I20060222000105 |
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