Individual provider · Type 1 NPI

Sue Ellen Myers

Clinical Social Worker · Kingdom City, MO

NPI number 1992869432 Active

Practice location

8548 Jade Road
Kingdom City, MO 65262

Fax (573) 642-5345

Mailing address

1012 Greystone Ct
Fulton, MO 65251-1297

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2002006591 (MO)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1992869432

Sue Ellen Myers's National Provider Identifier is 1992869432, issued on Dec 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kingdom City, MO. The record was last updated on Jul 9, 2007.