Laurie L Black (NPI# 1174829881, PAC ID# 3577812874) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1174829881 |
| PAC ID by PECOS | 3577812874 |
| Professional Enrollment ID | I20180820003134 |
| Full Name | Laurie L Black |
| Organization Legal Name | RESIDENTIAL PSYCHIATRIC SERVICES INC |
| Address |
135 S Main St Fredericktown MO 63645-1451 |
| Phone Number | 5736641146 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 3870576390 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 135 S Main St, Fredericktown, MO 63645-1451 | 5736641146 | RESIDENTIAL PSYCHIATRIC SERVICES INC |
| 10604 W State Hwy E, Washinton Co Handicapped Services, Potosi, MO 63664-2039 | 5734382864 | RESIDENTIAL PSYCHIATRIC SERVICES INC |
| Organization Legal Name | RESIDENTIAL PSYCHIATRIC SERVICES INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marisa K Richardson | Clinical Social Worker | Residential Psychiatric Services Inc | 10604 W State Hwy E, Washinton Co Handicapped Services, Potosi, MO 63664-2039 |
| Stefani J Poelker | Clinical Social Worker | Residential Psychiatric Services Inc | 104 Airport Rd, Sullivan, MO 63080-5205 |
| Jennifer L Roach | Clinical Social Worker | Residential Psychiatric Services Inc | 135 S Main St, Fredericktown, MO 63645-1451 |
| Nicola L Wissler | Clinical Social Worker | Residential Psychiatric Services Inc | 135 S Main St, Fredericktown, MO 63645-1451 |
| Joanna T Dalakos | Clinical Social Worker | Residential Psychiatric Services Inc | 135 S Main St, Fredericktown, MO 63645-1451 |
| Donna M Anderson | Clinical Social Worker | Residential Psychiatric Services Inc | 135 S Main St, Fredericktown, MO 63645-1451 |
| Gary J Mccarthy | Clinical Social Worker | Residential Psychiatric Services Inc | 135 S Main St, Fredericktown, MO 63645-1451 |
| Street Address |
135 S MAIN ST |
| City | FREDERICKTOWN |
| State | MO |
| Zip | 63645-1451 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank J Colella | Chiropractic | 135 S Main St, Pittston, PA 18640-1705 | |
| Jennifer L Roach | Clinical Social Worker | Residential Psychiatric Services Inc | 135 S Main St, Fredericktown, MO 63645-1451 |
| Keith E Hougas | Optometry | 135 S Main St, Suite 4, Elburn, IL 60119-9188 | |
| Cailin M Mccullion | Physical Therapy | Main Street Health Associates PC | 135 S Main St, Pittston, PA 18640-1705 |
| Nicole J Ferentino | Chiropractic | 135 S Main St, Pittston, PA 18640-1705 | |
| Brei Patience | Physical Therapy | Main Street Health Associates PC | 135 S Main St, Pittston, PA 18640-1705 |
| Frank A Serino | Physical Therapy | Main Street Health Associates PC | 135 S Main St, Pittston, PA 18640-1705 |
| Nicola L Wissler | Clinical Social Worker | Residential Psychiatric Services Inc | 135 S Main St, Fredericktown, MO 63645-1451 |
| Joanna T Dalakos | Clinical Social Worker | Residential Psychiatric Services Inc | 135 S Main St, Fredericktown, MO 63645-1451 |
| Donna M Anderson | Clinical Social Worker | Residential Psychiatric Services Inc | 135 S Main St, Fredericktown, MO 63645-1451 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kay Lynn Day | Nurse Practitioner | Midwest Health Group Convenient Care | 123 N Mine Lamotte, Fredricktown, MO 63645 |
| Mary E Chandler | Nurse Practitioner | Midwest Health Group Convenient Care | 123 N Mine Lamotte, Fredricktown, MO 63645 |
| Sonja B Hampton | Nurse Practitioner | Midwest Health Group Convenient Care | 123 N Mine Lamotte, Fredricktown, MO 63645 |
| Kelcy F Sayler | Nurse Practitioner | Wound Care Plus LLC | 105 Spruce St, Fredericktown, MO 63645-1002 |
| Julie M Buford | Nurse Practitioner | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Robert F Beckman | General Surgery | St Anthony's Physician Organization | 611 W Main St, Fredericktown, MO 63645-1111 |
| Melinda Jo Fischer | Nurse Practitioner | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Akeeb O Adedokun | Family Medicine | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Andrew C Dickey | Medical Oncology | Southeast Missouri Hospital Physicians LLC | 611 W Main St, Southeast Pulmonary, Fredericktown, MO 63645-1111 |
| Heather Jo Cheaney | Nurse Practitioner | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Find all physicians in zip 63645 | |||
| City | FREDERICKTOWN |
| Zip Code | 63645 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | FREDERICKTOWN + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Laurie L Black.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.