Rebecca Jane Krewson

Individual provider Active NPI Case Manager/Care Coordinator · Lenox, MO

NPI 1164036638 · NPPES record last updated Sep 2, 2020

Key facts

NPI
1164036638
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
15183 Highway C
Lenox, MO 65541-9316
Phone
(573) 201-5143
NPI assigned
Sep 2, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Health Educator 174H00000X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

15183 Highway C
Lenox, MO 65541-9316

Mailing address

15183 Highway C
Lenox, MO 65541-9316
Phone (573) 201-5143

Other providers in Lenox, MO

All providers in Lenox, MO · Case Manager/Care Coordinator in Missouri

Sources for this page

Verify at the official NPI Registry.