Provider Demographics
NPI:1861608903
Name:NORTHWEST MISSOURI CHILDREN'S ADVOCACY CENTER
Entity type:Organization
Organization Name:NORTHWEST MISSOURI CHILDREN'S ADVOCACY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ESTES
Authorized Official - Suffix:
Authorized Official - Credentials:SW
Authorized Official - Phone:816-232-1744
Mailing Address - Street 1:1807 N WOODBINE RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-2435
Mailing Address - Country:US
Mailing Address - Phone:816-232-1744
Mailing Address - Fax:
Practice Address - Street 1:1807 N WOODBINE RD
Practice Address - Street 2:SUITE E
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2435
Practice Address - Country:US
Practice Address - Phone:816-232-1744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW0006501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty