Dede Carson, MAADCII
Counselor, Addiction (Substance Use Disorder) in Aurora, MO. Individual provider (NPI-1).
NPI number1982245825
StatusActive
Last updated in NPPESOct 2, 2019
Details
- NPI
- 1982245825
- Entity type
- Individual (NPI-1)
- Name
- Dede Carson
- Credential
- MAADCII
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 2, 2019
- Last updated
- Oct 2, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- 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 |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 9512 | MO | Yes |
Practice location
1401 S Elliott AveAurora, MO 65605-2103
Phone 417-671-9856
Mailing address
1305 Brookside LnAurora, MO 65605-8158
Phone 417-569-2143
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