Wellman, Charlotte Mary

Wellman, Charlotte Mary is an individual health care provider with primary practice located at 901 Ne Independence Ave , Lees Summit MO 64086-5544. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wellman, Charlotte Mary can be contacted via phone (816) 246-8000.

Contact Information

Primary practice address
901 Ne Independence Ave Lees Summit MO 64086-5544
Fax: (816) 246-8207
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW004419 Missouri

Profile Details

NPI number 1720097074
LBN Legal business name Wellman, Charlotte Mary
Credentials M.S.W.,L.C.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jul 8th, 2007 - about 19 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 1720097074 NPPES
Missouri MEDICAID 497822619

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