West County Behavioral Health | |
955 Executive Parkway Dr Ste 100955 Creve Coeur MO 63141-6363 | |
(314) 537-6242 | |
Not Available |
Full Name | West County Behavioral Health |
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Speciality | Social Worker |
Location | 955 Executive Parkway Dr Ste 100955, Creve Coeur, Missouri |
Authorized Official Name and Position | Jennifer Webbe Van Luven (OWNER) |
Authorized Official Contact | 3145376242 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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West County Behavioral Health 955 Executive Parkway Dr Ste 100 Creve Coeur MO 63141-6356 Ph: (314) 537-6242 | West County Behavioral Health 955 Executive Parkway Dr Ste 100955 Creve Coeur MO 63141-6363 Ph: (314) 537-6242 |
NPI Number | 1457098816 |
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Provider Enumeration Date | 05/17/2022 |
Last Update Date | 07/12/2022 |
Certification Date | 07/08/2022 |
Medicare PECOS PAC ID | 1254710098 |
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Medicare Enrollment ID | O20220624000327 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457098816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Jeffrey E Boatman |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1265570592 PECOS PAC ID: 5294808689 Enrollment ID: I20080717000601 |
Provider Name | Jennifer W Vanluven |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619304250 PECOS PAC ID: 1052549110 Enrollment ID: I20140116001830 |
Provider Name | Cari L Mcknight |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750773594 PECOS PAC ID: 5597082776 Enrollment ID: I20150327000722 |
Provider Name | Kathleen A Taggart |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225400427 PECOS PAC ID: 0345550018 Enrollment ID: I20151109001557 |
Provider Name | Katelyn M Schaefer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154931640 PECOS PAC ID: 3678992450 Enrollment ID: I20200928002541 |
Provider Name | Mollie P Appelbaum |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023761343 PECOS PAC ID: 4981097425 Enrollment ID: I20220207000721 |
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