Michele F. Anthony, MSW, LCSW

Individual provider Active NPI Clinical Social Worker · Saint Peters, MO

NPI 1487761110 · NPPES record last updated Jan 13, 2016

Key facts

NPI
1487761110
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
004751 (MO)
Practice address
28 Ellington Oaks CT
Saint Peters, MO 63376-6472
Phone
(636) 288-1997
Fax
(844) 965-9809
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
Yes

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

28 Ellington Oaks CT
Saint Peters, MO 63376-6472
Phone (636) 288-1997

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 IDStateProvider typePAC IDDetails
I20160209002209 MO Practitioner - Clinical Social Worker 3274837497 Practice locations: Saint Peters, MO

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
004751MOMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 004751 MO Yes

Addresses

Primary practice location

28 Ellington Oaks CT
Saint Peters, MO 63376-6472

Mailing address

28 Ellington Oaks CT
Saint Peters, MO 63376-6472
Phone (636) 288-1997

Other providers in Saint Peters, MO

All providers in Saint Peters, MO · Clinical Social Worker in Missouri

Sources for this page

Verify at the official NPI Registry.