Provider Demographics
NPI:1679642664
Name:MACLAUGHLIN, BETSY JILL (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:BETSY
Middle Name:JILL
Last Name:MACLAUGHLIN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MS
Other - First Name:BETSY
Other - Middle Name:JILL
Other - Last Name:MADSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:64067-2102
Mailing Address - Country:US
Mailing Address - Phone:816-786-5861
Mailing Address - Fax:660-398-0052
Practice Address - Street 1:525 STATE HWY 13
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MO
Practice Address - Zip Code:64067
Practice Address - Country:US
Practice Address - Phone:816-786-5861
Practice Address - Fax:660-398-0052
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20020065901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical