Individual provider Active NPI

Elizabeth Kilburn Craft, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1003632670
Registry record updated Nov 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2017030506 Issued in MO
Practice address
1711 Janet PL
Saint Louis, MO 63122-5321
Phone
(314) 368-2357
NPI assigned
Nov 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2017030506 MO Primary

Addresses

Primary practice location

1711 Janet PL
Saint Louis, MO 63122-5321

Mailing address

1711 Janet PL
Saint Louis, MO 63122-5321
Phone (314) 368-2357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250326001332 MO Practitioner - Clinical Social Worker 8921521493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shanon Harlow LLCGroup PAC ID 3375860588, 12 clinicians

Practice addresses (Care Compare)

12801 Flushing Meadows Dr
Suite 120
Saint Louis, MO 63131-1829
Phone (314) 729-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shanon Harlow, LLC Clinical CurrentSince Feb 1, 2025 Accepting new patients

Locations

11144 Tesson Ferry Rd
Saint Louis, MO 63123
Phone (314) 729-1200

12801 Flushing Meadows Dr
Ste 120
Saint Louis, MO 63131
Phone (314) 729-1200

11144 Tesson Ferry Rd
Ste 101
Saint Louis, MO 63123
Phone (314) 472-2100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732752000000",
    "number": "1003632670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 JANET PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631225321",
            "telephone_number": "314-368-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 JANET PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631225321",
            "telephone_number": "314-368-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "ELIZABETH",
        "middle_name": "KILBURN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-28",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017030506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.