Robert Dean Hackleman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2003023450 Issued in MO

Practice address

200 S Bemiston Ave
Ste 304
Clayton, MO 63105-1915

Phone

(314) 540-0078

Fax

(314) 334-0918

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1043201833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S BEMISTON AVE",
            "address_2": "STE 304",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631051915",
            "telephone_number": "314-540-0078",
            "fax_number": "314-334-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S BEMISTON AVE",
            "address_2": "STE 304",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631051915",
            "telephone_number": "314-540-0078",
            "fax_number": "314-334-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKLEMAN",
        "first_name": "ROBERT",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2003023450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498441401",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Elizabeth Gregoire, PH.D., D.M.D.
• Casey Griebel, NP-C
• Kathleen Elizabeth Gruszka, RN
• Connor Lee Gunnarson, MED
• Andrea Gutierrez-Glik, LMSW
• Jennifer Haefner, PTA
• Leigh Hanna, LMSW
• Happy Homes in Home Care
• Marlan Gene Harris Jr.
• Miriam Harris

• Clinical Social Worker in Clayton, MO
• Providers in Clayton, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.

Verify at the official NPI Registry.