MEDICARE: LUTHERAN FAMILY & CHILDREN SERVICES - MID MO OFFICE

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1205206786
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUTHERAN FAMILY & CHILDREN SERVICES - MID MO OFFICE

Provider Business Mailing Address
First Line	:	307 LOCUST ST
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65201-4203
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	307 LOCUST ST
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65201-4203
Country	:	US
Telephone Number	:	573-815-9955
Fax Number	:

Authorized Official
Title or Position	:	REGIONAL DIRECTOR
Name	:	HEATHER A WALL-WILLIAMSON
Credential	:	MS, LPC, CRADC
Telephone Number	:	573-815-9955

Provider Enumeration Date	:	09/28/2015
Last Update Date	:	06/16/2016

Similar Medicare Providers

1003365818 — SHAILEEN THOMPSON LMSW
Practice Location Address:

307 LOCUST ST
COLUMBIA, MO
65201-4203

Practice Phone: 573-815-9955
Practice Fax: 573-449-4640

1760155758 — PREMISE HEALTH OF SOUTH CAROLINA MEDICAL PC
Practice Location Address:

795 OLD CLEMSON RD
COLUMBIA, SC
29229-4203

Practice Phone: 803-753-7170
Practice Fax:

1720402753 — JENNIFER M NEWTON FNP-C
Practice Location Address:

795 OLD CLEMSON RD
COLUMBIA, SC
29229-4203

Practice Phone: 803-744-4940
Practice Fax: 803-744-4938

1841882644 — THE SENIOR COMPANY LLC
Practice Location Address:

4203 GRANITE SPRINGS DR
COLUMBIA, MO
65203-7305

Practice Phone: 573-303-0460
Practice Fax:

1245919091 — LARESSA H JAMES
Practice Location Address:

4805 ANDERSON ST
COLUMBIA, SC
29203-4203

Practice Phone: 803-201-7323
Practice Fax:

1952255515 — ALYSSA MARIE BONNETT LCSW
Practice Location Address:

3 HOSPITAL DR
COLUMBIA, MO
65201-5276

Practice Phone: 573-884-1093
Practice Fax:

Directions to “LUTHERAN FAMILY & CHILDREN SERVICES - MID MO OFFICE ” 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.