Provider Demographics
NPI:1639219892
Name:BEST, EARL (LCSW)
Entity Type:Individual
Prefix:
First Name:EARL
Middle Name:
Last Name:BEST
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 1:11863 STATE HIGHWAY 13
Mailing Address - Street 2:PO BOX 555
Mailing Address - City:KIMBERLING CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65686-8372
Mailing Address - Country:US
Mailing Address - Phone:417-739-1995
Mailing Address - Fax:417-739-1893
Practice Address - Street 1:307 4TH ST
Practice Address - Street 2:
Practice Address - City:MONETT
Practice Address - State:MO
Practice Address - Zip Code:65708-2316
Practice Address - Country:US
Practice Address - Phone:417-235-6610
Practice Address - Fax:417-236-0058
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0001571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical