MEDICARE: MISS KELLIE ANN LOUGHMILLER LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	1041C0700X	Clinical Social Worker	2016018313	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2016018313	OTHER	MO	LICENSE

General Provider Information

NPI Number	:	1275820540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS KELLIE ANN LOUGHMILLER LMSW

Provider Business Mailing Address
First Line	:	111 N 15TH ST
Second Line	:	APT. 912
City	:	SAINT LOUIS
State	:	MO
Zip	:	63103-1988
Country	:	US
Telephone Number	:	573-579-7176
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 N 15TH ST
Second Line	:	APT. 912
City	:	SAINT LOUIS
State	:	MO
Zip	:	63103-1988
Country	:	US
Telephone Number	:	573-579-7176
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2011
Last Update Date	:	04/18/2017

Similar Medicare Providers

1346105905 — GRACIOUS GROWTH MISSOURI LLC
Practice Location Address:

231 S BEMISTON AVE STE 580
SAINT LOUIS, MO
63105-1988

Practice Phone: 844-408-3757
Practice Fax:

1992933956 — DR. STEVEN GENE FRIEDENBERG DVM
Practice Location Address:

1988 FITCH AVE , 295T AS/VM
SAINT PAUL, MN
55108-6009

Practice Phone: 612-625-7744
Practice Fax:

1144554429 — HOPE ELDERLY COMPANION SERVICES, LLC
Practice Location Address:

422 UNIVERSITY AVE W STE 202
SAINT PAUL, MN
55103-1988

Practice Phone: 651-808-5907
Practice Fax: 651-459-2693

1316390198 — A. IMMING ENTERPRISES, LLC
Practice Location Address:

3 FOREST BROOK CT
SAINT PETERS, MO
63376-1988

Practice Phone: 636-578-6301
Practice Fax:

1407709058 — KHALED SAID
Practice Location Address:

2351 MARKET ST
SAINT LOUIS, MO
63103-2541

Practice Phone: 314-499-6540
Practice Fax:

1588516884 — DISTINGUISHED HEALTHCARE LLC
Practice Location Address:

1209 WASHINGTON AVE APT 210
SAINT LOUIS, MO
63103-1997

Practice Phone: 314-537-1718
Practice Fax:

Directions to “ MISS KELLIE ANN LOUGHMILLER LMSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.