Individual
MS. JEANNETTE LUCILLE WELTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1432 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2444
(573) 632-5560
(573) 632-5875
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009006662
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39657900
—
WI
05
—
499278604
—
MO
Enumeration date
11/03/2006
Last updated
10/21/2025
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