Mrs Kelly Rae Staddie, LCSW - Clinical Social Worker in Mexico, MO

Mrs Kelly Rae Staddie, LCSW is a Social Worker - Clinical based in Mexico, Missouri. Mrs Kelly Rae Staddie is licensed to practice in Missouri (license number 2005008356) and her current practice location is 734 W Monroe St, Mexico, Missouri. She can be reached at her office (for appointments etc.) via phone at (573) 642-5345.

NPI number for Mrs Kelly Rae Staddie is 1093879835 and her current mailing address is 24 Lakeside Pl, Mexico, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093879835.

Contact Information

Mrs Kelly Rae Staddie, LCSW
734 W Monroe St,
Mexico, MO 65265-1970
(573) 642-5345
(573) 642-5162



Healthcare Provider's Profile

Full NameMrs Kelly Rae Staddie
GenderFemale
SpecialitySocial Worker - Clinical
Location734 W Monroe St, Mexico, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093879835
  • Provider Enumeration Date: 12/19/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Kelly Rae Staddie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093879835NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 2005008356 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Rae Staddie is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kelly Rae Staddie, LCSW
24 Lakeside Pl,
Mexico, MO 65265-2227

Ph: (573) 582-7866
Mrs Kelly Rae Staddie, LCSW
734 W Monroe St,
Mexico, MO 65265-1970

Ph: (573) 642-5345

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› Verified 6 days ago


Social Worker in Mexico, MO

Kristen Ann Fishback, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 340 Kelley Pkwy, Mexico, MO 65265
Phone: 573-582-1234    Fax: 573-582-1212
Patricia Ann Erwin, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 340 Kelley Pkwy, Mexico, MO 65265
Phone: 573-582-1234    
Paula Reecht, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 321 W Promenade St, Mexico, MO 65265
Phone: 573-582-1234    Fax: 573-582-1212
Ms. Katherine C Sims, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 116 S Jefferson St, Mexico, MO 65265
Phone: 573-582-0292    Fax: 573-581-6036
Cynthia Mae Mackey, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 340 Kelley Pkwy, Mexico, MO 65265
Phone: 573-582-1234    Fax: 573-582-1212
Virginia J Caputy, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 321 W Promenade St, Mexico, MO 65265
Phone: 573-582-1234    Fax: 573-582-1212

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