Psycare Of Callaway County, LLC
Social Worker, Clinical in Columbia, MO. Organization (NPI-2).
NPI number1801015342
StatusActive
Last updated in NPPESSep 14, 2023
Details
- NPI
- 1801015342
- Entity type
- Organization (NPI-2)
- Legal business name
- Psycare Of Callaway County, LLC
- Organization subpart
- No
- Enumeration date
- Apr 24, 2007
- Certification date
- Sep 14, 2023
- Last updated
- Sep 14, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2003018483 | MO | Yes |
Other names
- Psycare (Doing Business As)
Practice location
601 W Nifong, Bldg. 5aColumbia, MO 65203
Phone 573-220-2366
Mailing address
Po Box 605Fulton, MO 65251-0605
Phone 573-642-0087
Authorized official
Mary Beth Debrodie
Ceo
5732208366
Is something wrong?
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