Connie Lee Arnold, L.C.S.W.

Individual provider Active NPI Clinical Social Worker · Raymore, MO

NPI 1508058157 · NPPES record last updated Aug 16, 2007

Key facts

NPI
1508058157
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
2005041019 (MO)
Practice address
317 Mulberry Dr
Raymore, MO 64083-8297
Phone
(816) 547-1407
Fax
(816) 331-4977
NPI assigned
Aug 16, 2007
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

State licenses

LicenseStateTypeSpecialty
2005041019MOMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2005041019 MO Yes

Addresses

Primary practice location

317 Mulberry Dr
Raymore, MO 64083-8297

Mailing address

317 Mulberry Dr
Raymore, MO 64083-8297
Phone (816) 547-1407

Other providers in Raymore, MO

All providers in Raymore, MO · Clinical Social Worker in Missouri

Sources for this page

Verify at the official NPI Registry.