Individual
MS. AMELIA GAIL CLAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12012 OAK RIDGE RD, INDEPENDENCE, MO 64052-2826
(816) 462-2953
Mailing address
12102 OAK RIDGE RD, INDEPENDENCE, MO 64052-2824
(816) 473-4101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003024039
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30679017
BLUE CROSS BLUE SHIELD
MO
05
—
495370801
—
MO
01
—
SW003561
LCSW LICENSE
MO
Enumeration date
07/06/2006
Last updated
05/25/2023
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