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Contact Information

TAMMY L AXTELL, LCSW
5615 W 32ND ST
JOPLIN, MO64804-8161
 Phone: 417-781-7337
 Fax: 417-623-1787
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for TAMMY L AXTELL · (Female)

NPI Number 1326365891
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 04/23/2010
Last updated 10/26/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MO License # LCSW2010001166
  • TX License # 2010001186
  • MO Medicaid 1326365891
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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