Individual provider Active NPI

Chloe Ciarra Smith-Ferguson, MSW, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1023593928
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.021464 Issued in IL
Practice address
4222 Summit Knoll Dr Apt I
Saint Louis, MO 63129-7530
Phone
(618) 367-6586
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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 149.021464 IL Primary

Addresses

Primary practice location

4222 Summit Knoll Dr Apt I
Saint Louis, MO 63129-7530

Mailing address

4222 Summit Knoll Dr Apt I
Saint Louis, MO 63129-7530
Phone (618) 367-6586

Other practice location 1

1600 Flossie Dr
Greendale, IN 47025-8424
Phone (812) 539-2313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.021464ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1023593928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 SUMMIT KNOLL DR APT I",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631297530",
            "telephone_number": "618-367-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 SUMMIT KNOLL DR APT I",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631297530",
            "telephone_number": "618-367-6586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Flossie Dr",
            "address_purpose": "LOCATION",
            "city": "Greendale",
            "state": "IN",
            "postal_code": "470258424",
            "country_code": "US",
            "telephone_number": "812-539-2313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH-FERGUSON",
        "first_name": "CHLOE",
        "middle_name": "CIARRA",
        "name_prefix": "Miss",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021464",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 10, 2020; 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.