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NPI Code Detail

MEDICARE: JENNIFER MESSERSMITH

MEDICARE: JENNIFER MESSERSMITH
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
11041C0700XClinical Social Worker2016013126MO
2104100000XSocial Worker

General Provider Information

NPI Number : 1891022562
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MESSERSMITH
Provider Business Mailing Address
First Line : 1085 MAPLE ST
Second Line :
City : FARMINGTON
State : MO
Zip : 63640-1955
Country : US
Telephone Number : 573-756-5353
Fax Number :
Provider Business Practice Location Address
First Line : 807 COLLINS DR
Second Line :
City : FESTUS
State : MO
Zip : 63028-2346
Country : US
Telephone Number : 573-756-5353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2009
Last Update Date : 06/09/2026

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Directions to “ JENNIFER MESSERSMITH ” Practice Location

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