MEDICARE: SANDRA SUE BEST MSW,LCSW

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	SW001710	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	121554	OTHER	MO	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1326057977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA SUE BEST MSW,LCSW

Provider Business Mailing Address
First Line	:	PO BOX 4046
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65808-4046
Country	:	US
Telephone Number	:	417-269-7241
Fax Number	:	417-269-7567

Provider Business Practice Location Address
First Line	:	18452 BUSINESS 13
Second Line	:
City	:	BRANSON WEST
State	:	MO
Zip	:	65737-9609
Country	:	US
Telephone Number	:	417-272-8911
Fax Number	:	417-272-3900

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

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	04/09/2018

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