Justine Fuhrmann

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2021015988 Issued in MO

Practice address

12166 Old Big Bend Rd Ste 204
Kirkwood, MO 63122-6836

Phone

(314) 822-8888

Fax

(888) 909-9204

NPI assigned

Apr 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Justine Dietz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carepoint Christian Counseling, LLC

  • Professional Counselor
  • Saint Louis, MO
  • NPI 1023394319
  NPD
• The Children'S Home Society of Missouri

  • Clinic/Center
  • Saint Louis, MO
  • NPI 1134244353

  Clinical

  NPD (past)

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1013571967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12166 OLD BIG BEND RD STE 204",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226836",
            "telephone_number": "314-822-8888",
            "fax_number": "888-909-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12166 OLD BIG BEND RD STE 204",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226836",
            "telephone_number": "314-822-8888",
            "fax_number": "888-909-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUHRMANN",
        "first_name": "JUSTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33009200A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021015988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINE",
            "last_name": "DIETZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tara Frank
• Laura Elizabeth Fraser
• Heather Ann Freed, LCSW
• Alice Fritsch, RPH
• From Root to Bloom Counseling LLC
• Charles D Fuszner, DMD
• Vera Irene Gabliani, PHD
• Margaret Galantowicz, L.P.C.
• James Martin Gallinger, DDS
• Daniel Gardner, PLPC

• Clinical Social Worker in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.