Jerry Michael Best, LMSW
Individual provider Active NPI Clinical Social Worker · Hannibal, MO
NPI 1346722600 · NPPES record last updated Sep 4, 2018
Key facts
- NPI
- 1346722600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2018030946 (MO)
- Practice address
- 154 Forrest Dr
Hannibal, MO 63401-5503 - Phone
- (573) 221-2120
- Fax
- (573) 221-4380
- NPI assigned
- Sep 4, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201208002825 | MO | Practitioner - Clinical Social Worker | 7719399112 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018030946 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Twain Association for Mental Health, Inc | Current |
Accepting new patients | |
| Mark Twain Association for Mental Health, Inc. | Current |
Accepting new patients |
Locations
154 Forrest Dr
Hannibal, MO 63401
Phone (573) 221-2120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2018030946 | MO | Yes |
Addresses
Primary practice location
154 Forrest Dr
Hannibal, MO 63401-5503
Mailing address
154 Forrest Dr
Hannibal, MO 63401-5503
Phone (573) 221-2120
Other providers in Hannibal, MO
- John R Bennett
- Shelley Lea Bergman
- Leanne Marie Berry
- Best Buy Homecare of Louisiana, Inc
- Charlotte Maureen Best
- Robert Steven Best
- Beth Haven Group Homes Inc
- Beth Haven Group Homes Inc
- Beth Haven Group Homes Inc
- Beth Haven Group Homes Inc
All providers in Hannibal, 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 Sep 4, 2018. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.