MEDICARE: AUDRA BELL

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	15277	FL
2	1041C0700X	Clinical Social Worker	2209	KS
3	1041C0700X	Clinical Social Worker	2011011573	MO

General Provider Information

NPI Number	:	1962784256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUDRA BELL

Provider Business Mailing Address
First Line	:	PO BOX 3034
Second Line	:
City	:	ST AUGUSTINE
State	:	FL
Zip	:	32085-3034
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 W PORT PLZ
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-3011
Country	:	US
Telephone Number	:	323-205-7088
Fax Number	:

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

Provider Enumeration Date	:	09/13/2011
Last Update Date	:	03/26/2026

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Directions to “ AUDRA BELL ” Practice Location

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