Caruso, Michael S

Caruso, Michael S is an individual health care provider with primary practice located at 2303 Village Dr , Saint Joseph MO 64506-4954. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Caruso, Michael S can be contacted via phone (816) 232-4417.

Contact Information

Primary practice address
2303 Village Dr Saint Joseph MO 64506-4954
Phone: (816) 232-4417
Fax: (816) 671-0961
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000121 Missouri

Profile Details

NPI number 1295781375
LBN Legal business name Caruso, Michael S
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jun 22nd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295781375 NPPES
Missouri MEDICAID 493212310
Missouri MEDICAID 100288780D

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