Billy Joe Berhorst, M.S.W. L.C.S.W.
Individual provider Active NPI Clinical Social Worker · Canton, MO
NPI 1467685271 · NPPES record last updated Aug 29, 2023
Key facts
- NPI
- 1467685271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149011940 (IL)
- Practice address
- 14 Jan Mar Dr
Canton, MO 63435-1201 - Phone
- (217) 430-9671
- NPI assigned
- Aug 26, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007874 | IA | MD | Clinical Social Worker |
| 2006025160 | MO | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2006025160 | MO | |
| Clinical Social Worker | 1041C0700X | 007874 | IA | |
| Clinical Social Worker | 1041C0700X | 149011940 | IL | Yes |
Addresses
Primary practice location
14 Jan Mar Dr
Canton, MO 63435-1201
Mailing address
14 Jan Mar Dr
Canton, MO 63435-1201
Phone (174) 309-6712
Other names
- BJ Berhorst
Other providers in Canton, MO
- Arvin Garcia Abueg
- Advance Hannibal Regional Hospital, LLC
- Advance Physical Therapy & Sports Medicine of Lewis County LLC
- Sheilaika Faith Viernes Agbayani
- Jaren Arnold
- Blessing Hospital
- Blessing Walk-in Clinic LLC
- Myah Alexis Briese
- Megan Ann Burk
- Canton School District R V
All providers in Canton, 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 Aug 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.