Insight Dynamics LLC
Organization Active NPI Social Worker · Boonville, MO
NPI 1710698402 · NPPES record last updated Dec 13, 2022
Key facts
- NPI
- 1710698402
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Social Worker 104100000X
- Legal business name
- INSIGHT DYNAMICS LLC
- Practice address
- 413 E Spring St
Boonville, MO 65233-1573 - Phone
- (166) 088-2640
- NPI assigned
- Dec 13, 2022
- Organization subpart
- No
Authorized official
- Name
- Aneisa Lynn Sherrill-Mattox, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (660) 882-6400
Practitioners 9
-
Laura S Haines, MA, LPC
-
Frances D Atkins, PHD APRN BC
-
Patrick C Beglau, LPC
-
Amanda Crabtree, PLPC
-
Sandra Sue Rahm, LPC
-
Bonnie D. Riley, LP, LPC
-
Katherine Marie Wooldridge, MED., PLPC
-
Cynthia Elaine Baker, M.S.W., L.C.S.W.
National Provider Directory
Locations
413 E Spring St
Boonville, MO 65233
Phone (573) 289-8495
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | Yes |
Addresses
Primary practice location
413 E Spring St
Boonville, MO 65233-1573
Mailing address
413 E Spring St
Boonville, MO 65233-1573
Phone (166) 088-2640
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490078150 | Medicaid | MO |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | OTHER |
Other providers in Boonville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2022. 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.