Individual provider Active NPI

Robyn Booker, LCSW

  • Clinical Social Worker
  • St. Louis, MO
National Provider Identifier
1023768413
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2018039323 Issued in MO
Practice address
Behavioral Health Response
5501 Delmar Suite B300
St. Louis, MO 63112
Phone
(636) 497-2983
NPI assigned
Mar 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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 2018039323 MO Primary

Addresses

Primary practice location

Behavioral Health Response
5501 Delmar Suite B300
St. Louis, MO 63112

Mailing address

439 S Clay Ave Apt 1
Kirkwood, MO 63122-5840
Phone (636) 497-2983

Other practice location 1

439 S Clay Ave Apt 1
Kirkwood, MO 63122-5840
Phone (636) 497-2983

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
2018039323MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Response, Inc CurrentSince May 28, 2023 Accepting new patients

Locations

5501 Delmar Blvd
Ste B300
Saint Louis, MO 63112
Phone (314) 469-4908

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1023768413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 S CLAY AVE APT 1",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631225840",
            "telephone_number": "636-497-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEHAVIORAL HEALTH RESPONSE",
            "address_2": "5501 DELMAR SUITE B300",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63112",
            "telephone_number": "636-497-2983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "439 S Clay Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Kirkwood",
            "state": "MO",
            "postal_code": "631225840",
            "country_code": "US",
            "telephone_number": "636-497-2983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "ROBYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018039323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.