MRS. BRANDYLYN S BRISTOW (NPI# 1154630770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154630770 |
| Entity Type | Individual |
| Full Name | MRS. BRANDYLYN S BRISTOW |
| Credential | LCSW |
| Practice Address |
708 East Highway 28 Owensville MO 65066 |
| Mailing Address |
2591 Fowler Road Hermann MO 65041 |
| Practice Telephone | 5734861193 |
| Practice Fax Number | 5734860910 |
| Mailing Telephone | 5739439973 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2012-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
20080000932 | MO | Behavioral Health & Social Service Providers |
| Street Address |
708 EAST HIGHWAY 28 |
| City | OWENSVILLE |
| State | MO |
| Zip Code | 65066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403300 | Isabel Hotop | Speech-Language Pathologist | 1016 Hwy 28, Owensville, MO 65066 | 2020-06-30 |
| 1427382894 | Sarah Beth Roberson | Occupational Therapist | 301 N 7th St., Owensville, MO 65066 | 2009-10-01 |
| 1710137005 | Paula K Copeland | Physical Therapist | 1920 Bem Church Road, Owensville, MO 65066 | 2008-09-24 |
| 1841474699 | Erin M Jones | Pharmacist | 601 E. Highway 28, Owensville, MO 65066 | 2007-12-27 |
| 1689857120 | Roger Alden Stewart | Chiropractor | 401 W Lincoln, Owensville, MO 65066 | 2007-12-06 |
| 1356469084 | Gasconade Terrace Retirement Center | Assisted Living Facility | 1930 Nursing Home Road, Owensville, MO 65066 | 2007-03-27 |
| 1467538876 | Joe Ray Moore | Chiropractor | 411 East Hwy 28, Moore Chiropractic Health Center, Owensville, MD 65066 | 2006-10-27 |
| 1891885687 | Medley Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 601 E Hwy 28, Owensville, MO 65066 | 2006-10-13 |
| 1447360680 | Donna Nicks | Physical Therapist | 107 A West Lincoln Ave, Owensville, MO 65066 | 2006-08-30 |
| 1861405094 | Stacy Lynn Caldwell | Pharmacist | 601 East Hwy 28, Owensville, MO 65066 | 2006-08-15 |
| Find all providers in zip 65066 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467928655 | Ashley Jean Kopp | Social Worker | 402 E Lincoln Ave, Owensville, MO 65066-1445 | 2018-10-16 |
| 1194076711 | William Garner Morgan | Social Worker | 704 E Highway 28, Owensville, MO 65066-1588 | 2012-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447701 | Constance Fulks | Social Worker | 1141 Wooden Dr, Florissant, MO 63033-5954 | 2020-11-03 |
| 1447850870 | Convergence Counseling Services, LLC | Social Worker | 7612 E 113th St, Kansas City, MO 64134-2946 | 2020-10-26 |
| 1336748599 | Meghan Lyn Mallams | Social Worker | 28 Westwoods Dr Ste 107, Liberty, MO 64068-3520 | 2020-10-20 |
| 1639777154 | Keisa D. Baker | Social Worker | 7716 Arlington Ave, Raytown, MO 64138-1654 | 2020-10-16 |
| 1811595697 | Sarah Nicole Bailey | Social Worker | 27759 Rock Ave, Bell City, MO 63735-8111 | 2020-10-13 |
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1184221368 | Deborah L Tannenbaum, Lcsw, LLC | Social Worker | 3000 Arrow Rock Dr, Saint Charles, MO 63303-6502 | 2020-10-01 |
| 1407463706 | Allison Nichole Kemble | Social Worker | 806 Shawn Ct, Centralia, MO 65240-4320 | 2020-09-30 |
| 1336756949 | Megan Krystal Draper | Social Worker | 8425 Locust St, Kansas City, MO 64131-2223 | 2020-09-28 |
| 1730796541 | Angelita Pritchett | Social Worker | 908 Glencoe, Park Hills, MO 63601-1931 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | OWENSVILLE |
| Zip Code | 65066 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.