Katrina L. Dowell, LCSW

Individual provider Active NPI Clinical Social Worker · Poplar Bluff, MO

NPI 1942433784 · NPPES record last updated Apr 26, 2016

Key facts

NPI
1942433784
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318
Phone
(573) 472-2139
Fax
(573) 472-6457
NPI assigned
Aug 27, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi County Health Department Past Accepting new patients
BPH LLC Past Accepting new patients
Mississippi County Health Department Past Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318

Mailing address

1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318
Phone (573) 472-2139

Other names

  • Katrina S. Coleman Former name

Other providers in Poplar Bluff, MO

All providers in Poplar Bluff, MO · Clinical Social Worker in Missouri

Sources for this page

Verify at the official NPI Registry.