Teryn Malynne Bor, LMSW
Individual provider Active NPI Social Worker · Odessa, MO
NPI 1831761576 · NPPES record last updated Jul 13, 2021
Key facts
- NPI
- 1831761576
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 2020038948 (MO)
- Practice address
- 1278 W US Highway 40
Odessa, MO 64076-9612 - Phone
- (888) 403-1071
- Fax
- (816) 633-7942
- NPI assigned
- Jul 13, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11543 | KS | MD | Social Worker |
| 2020038948 | MO | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11543 | KS | |
| Social Worker | 104100000X | 2020038948 | MO | Yes |
Addresses
Primary practice location
1278 W US Highway 40
Odessa, MO 64076-9612
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other names
- Teryn Malynne Greer
Other providers in Odessa, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2021. 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.