State Of Missouri is a General Practice Physician based in Jefferson City, MO. State Of Missouri practices in Farmington, MO. The NPI Number for State Of Missouri is 1437106705 and holds a License No. (Missouri).
The current practice location address for State Of Missouri is 1010 W Columbia St, Farmington, MO and can be reached out via phone at 573-218-6792 and via fax at 573-218-6703.
Location: 1010 W Columbia St, Farmington, MO, 65101-4130
Provider Profile Details
NPI Number
1437106705
Provider Name
State Of Missouri
Credential
Provider Entity Type
Organization
Address
1010 W Columbia St, Farmington, MO, 65101-4130
Phone Number
573-218-6792
Fax Number
573-218-6703
Provider Enumeration Date
05/30/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500490206 | 05 | MO |
Provider Business Practice Location Address Details
Address
1010 W Columbia St
City
State
Zip
63640-2902
Phone Number
573-218-6792
Fax Number
573-218-6703
Provider Business Mailing Address Details
Address
1010 W Columbia St
City
State
Zip
63640-2902
Phone Number
573-218-6792
Fax Number
573-218-6703
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
License No.
()
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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