Active NPI
Amy Kelly Neu, LCSW
- Clinical Social Worker
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2013011434
- Practice address
- 12125 Woodcrest Executive Dr
Suite 110
Saint Louis, MO 63141-5001 - Phone
- (314) 275-8599
- NPI assigned
- Jan 7, 2014
- Last updated
- Jan 7, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 2013011434 | MO | Primary |
Addresses
Primary practice location
12125 Woodcrest Executive Dr
Suite 110
Saint Louis, MO 63141-5001
Mailing address
351 S Old Orchard Ave
Saint Louis, MO 63119-4249
Phone (314) 703-0936
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1215 Fern Ridge Pkwy
Suite 110
Saint Louis, MO 63141-4405
Phone (314) 275-8599
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013011434 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madmar, LLC | Current | Accepting new patients |
Locations
1215 Fern Ridge Pkwy
#110W
Saint Louis, MO 63141
Phone (314) 275-8599
1215 Fern Ridge Pkwy
Ste 110
Saint Louis, MO 63141
Phone (314) 275-8599
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389052800000",
"number": "1033531207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 S OLD ORCHARD AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631194249",
"telephone_number": "314-703-0936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12125 WOODCREST EXECUTIVE DR",
"address_2": "SUITE 110",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631415001",
"telephone_number": "314-275-8599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEU",
"first_name": "AMY",
"middle_name": "KELLY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-07",
"last_updated": "2014-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2013011434",
"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 Jan 7, 2014; 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.