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NPI Code Detail

MEDICARE: RICHARD L POPE LCSW, LIMHP

MEDICARE: RICHARD L POPE LCSW, LIMHP
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
1101YP2500XProfessional Counselor1072NE
2104100000XSocial Worker2119NE
31041C0700XClinical Social Worker2023047952MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114191152
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD L POPE LCSW, LIMHP
Provider Business Mailing Address
First Line : 1800 COMMUNITY
Second Line :
City : CLINTON
State : MO
Zip : 64735-8804
Country : US
Telephone Number : 844-853-8937
Fax Number :
Provider Business Practice Location Address
First Line : 206 S MILL ST
Second Line :
City : ELDON
State : MO
Zip : 65026-1864
Country : US
Telephone Number : 844-853-8937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2008
Last Update Date : 12/20/2023

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