Active NPI
Sheri Rezak-Irons, LCSW
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1023166253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW002064
- Practice address
- 7700 Clayton Rd
Suite 101
Saint Louis, MO 63117-1328 - Phone
- (314) 644-1241
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW002064 | MO | Primary |
Addresses
Primary practice location
7700 Clayton Rd
Suite 101
Saint Louis, MO 63117-1328
Mailing address
7700 Clayton Rd
Suite 101
Saint Louis, MO 63117-1328
Phone (314) 644-1241
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117112 | Other | MO | BLUECROSS ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 20, 2015 through Jan 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW002064 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023166253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 CLAYTON RD",
"address_2": "SUITE 101",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171328",
"telephone_number": "314-644-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 CLAYTON RD",
"address_2": "SUITE 101",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171328",
"telephone_number": "314-644-1241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZAK-IRONS",
"first_name": "SHERI",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "SW002064",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS ID",
"identifier": "117112",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.