Katherine Fezzi, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2024021246 Issued in MO

Practice address

9904 Clayton Rd Ste 135
Saint Louis, MO 63124-1149

Phone

(314) 222-5830

NPI assigned

Sep 18, 2024

Last updated

Sep 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine Baber Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1003643461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9904 CLAYTON RD STE 135",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241149",
            "telephone_number": "314-222-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9904 CLAYTON RD STE 135",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241149",
            "telephone_number": "314-222-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEZZI",
        "first_name": "KATHERINE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2024021246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "BABER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Albert James Fessler III, MD
• Jamie Theresa Fessler, MPT
• Matthew Aaron Fessler
• Catherine Alexandra Feuer, PH.D.
• Erin Fey, MS
• Raymond Thomas Fezzi, MSW
• Elise Marguerite Fiala, CGC
• Jean M Fiala, OTR/L CHT
• Tara Anne Fiala, PNP
• Brooke N Ficarrotta, PNP

• Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.