Basic Information
| Provider Information | |||||||||
| NPI: | 1487110789 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LLOYD | ||||||||
| FirstName: | CALI | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | LMSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2303 VILLAGE DR | ||||||||
| Address2: | |||||||||
| City: | SAINT JOSEPH | ||||||||
| State: | MO | ||||||||
| PostalCode: | 645064954 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8162718265 | ||||||||
| FaxNumber: | 8162322991 | ||||||||
| Practice Location | |||||||||
| Address1: | 305 RHODE ISLAND ST | ||||||||
| Address2: | |||||||||
| City: | KING CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 644639622 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6604425464 | ||||||||
| FaxNumber: | 6604425369 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/12/2019 | ||||||||
| LastUpdateDate: | 11/10/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 2018026793 | MO | N | Behavioral Health & Social Service Providers | Social Worker | 1041C0700X | 2020036518 | MO | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.