Provider Demographics
NPI:1437107463
Name:KAPLAN, MICHAEL B (LCSW)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:B
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7687
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65205-7687
Mailing Address - Country:US
Mailing Address - Phone:573-882-2259
Mailing Address - Fax:573-884-8526
Practice Address - Street 1:601 BUSINESS LOOP 70 W
Practice Address - Street 2:STE 202
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-2546
Practice Address - Country:US
Practice Address - Phone:573-884-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003022688104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO194129OtherBLUE SHIELD/BLUE CHOICE
MO690405OtherHEALTHLINK