Organization Active NPI

Humble Monarch Therapy

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1023679297
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HUMBLE MONARCH THERAPY
Practice address
1409 Washington Ave Ste 303
Saint Louis, MO 63103-1913
Phone
(314) 762-6336
NPI assigned
Jun 27, 2019
Last updated
Dec 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
Derrick Howell, LCSW
Title
Owner
Phone
(314) 782-8844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1409 Washington Ave Ste 303
Saint Louis, MO 63103-1913

Mailing address

4579 Laclede Ave
PMB 242
St. Louis, MO 63108

Other practice location 1

12747 Olive Blvd
Ste 300a
St. Louis, MO 63141-6269
Phone (314) 782-8844

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1023679297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4579 LACLEDE AVE",
            "address_2": "PMB 242",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE STE 303",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031913",
            "telephone_number": "314-762-6336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12747 Olive Blvd",
            "address_2": "Ste 300a",
            "address_purpose": "LOCATION",
            "city": "St. Louis",
            "state": "MO",
            "postal_code": "631416269",
            "country_code": "US",
            "telephone_number": "314-782-8844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HUMBLE MONARCH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-782-8844",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "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 Dec 12, 2019; 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.