Individual provider Active NPI

Amy Kelly Neu, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1033531207
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2013011434 Issued in MO
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140317001040 MO Practitioner - Clinical Social Worker 5294966263 Reassigns benefits to 1 organization

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
Madmar LLCGroup PAC ID 8628516119, 9 clinicians

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

LicenseStateTypeSpecialty
2013011434MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Madmar, LLC CurrentSince Jul 7, 2024 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

Verify at the official NPI Registry.