Healthcare Provider Details

I. General information

NPI: 1437362464
Provider Name (Legal Business Name): JANET LOUISE BELL CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1272 LAWRENCE 2170
WENTWORTH MO
64873-9108
US

IV. Provider business mailing address

1272 LAWRENCE 2170
WENTWORTH MO
64873-9108
US

V. Phone/Fax

Practice location:
  • Phone: 417-476-2440
  • Fax:
Mailing address:
  • Phone: 417-476-2440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number001545
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: