CM Kinney and Associates, LLC
Organization Active NPI Clinical Social Worker · Manchester, MO
NPI 1033734702 · NPPES record last updated Apr 22, 2022
Key facts
- NPI
- 1033734702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- CM KINNEY AND ASSOCIATES, LLC
- Practice address
- 623 Meramec Station Rd
Manchester, MO 63021-5550 - Phone
- (314) 266-9131
- NPI assigned
- Jun 9, 2020
- Organization subpart
- No
Authorized official
- Name
- Victoria Shepherd
- Title
- Admim
- Phone
- (314) 315-5148
Practitioners 1
-
Cheryl Kinney, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200729000997 | MO | Part B Supplier - Clinic/Group Practice | 4688099328 |
Receives reassigned benefits from 1 practitioner Practice locations: Saint Louis, MO |
National Provider Directory
Locations
623 Meramec Station Rd
Manchester, MO 63021
Phone (314) 266-9131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
623 Meramec Station Rd
Manchester, MO 63021-5550
Mailing address
1237 Warson Woods Dr
Saint Louis, MO 63122-1735
Phone (314) 608-2527
Other providers in Manchester, MO
- David W Candy
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- Tyler Gerard Carron
- Jeffrey Cavanaugh
- Cathy Chambliss
- Comfort Home Care LLC
- Contemporary Vision Center, LLC
- Mary K. Cook
- Rebecca Cook
- Grace Jorgensen Copeland
All providers in Manchester, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.