Scott, Stacy J

Scott, Stacy J is an individual health care provider with primary practice located at 760 Plantation Blvd , Sikeston MO 63801-5736. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Scott, Stacy J can be contacted via phone (573) 471-0800.

Contact Information

Primary practice address
760 Plantation Blvd Sikeston MO 63801-5736
Phone: (573) 471-0800
Fax: (573) 471-0810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2002014995 Missouri

Profile Details

NPI number 1932186129
LBN Legal business name Scott, Stacy J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Sep 24th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932186129 NPPES
Missouri MEDICAID 495201014

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