DOUGLAS E SPROUSE, MASTERS IN SOCIAL WO SAINT JOSEPH, MO

Contact Information

DOUGLAS E SPROUSE, MASTERS IN SOCIAL WO

3805 OAKLAND AVENUE
SUITE 102F
SAINT JOSEPH, MO 64506

Phone: 816-671-9604
Fax: 816-364-2158
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Addiction (Substance Use Disorder)	101YA0400X
Clinical	1041C0700X	80	Licensed Clinical Social Worker

Indicates primary specialty

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NPI Profile & details for DOUGLAS E SPROUSE · (Male)

NPI Number	`1790837805`
Status	Active
Credentials	MASTERS IN SOCIAL WO
Entity	Individual
Enumeration date	01/17/2007
Last updated	09/11/2025 - About 9 months ago
Sole proprietor ¹	No
Identifiers	MO License # 001033 MO License # 365 Other 19706028 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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DOUGLAS E SPROUSE, MASTERS IN SOCIAL WO – NPI #1790837805Addiction (Substance Use Disorder)

Contact Information

Specialty

Addiction (Substance Use Disorder)

Clinical

NPI Profile & details for DOUGLAS E SPROUSE · (Male)

Reviews for DOUGLAS E SPROUSE

DOUGLAS E SPROUSE, MASTERS IN SOCIAL WO – NPI #1790837805
Addiction (Substance Use Disorder)