Individual provider Active NPI

Deborah Lynn Kern, LCSW

  • Clinical Social Worker
  • Maryland Heights, MO
National Provider Identifier
1043539711
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2025021622 Issued in MO
Practice address
2458 Old Dorsett Rd Ste 110
Maryland Heights, MO 63043-2423
Phone
(636) 939-2550
Fax
(636) 939-2551
NPI assigned
May 20, 2010
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2025021622 MO Primary
Clinical Social Worker 1041C0700X SW 10061 FL

Addresses

Primary practice location

2458 Old Dorsett Rd Ste 110
Maryland Heights, MO 63043-2423

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Other identifiers 1

IdentifierTypeStateIssuer
SW10061OtherFLFLDOH DIV OF MED QUALITY ASSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230915002889 FL Practitioner - Clinical Social Worker 0547624090 Practice locations: Niceville, FL
I20260211000894 MO Practitioner - Clinical Social Worker 0547624090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

2458 Old Dorsett Rd
Suite 110
Maryland Heights, MO 63043-2423
Phone (314) 476-0732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 10061FLMDClinical Social Worker
2025021622MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aileen T. Playter, LLC Clinical CurrentSince Jul 6, 2026 Accepting new patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince Mar 4, 2026 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

2458 Old Dorsett Rd
Ste 110
Maryland Heights, MO 63043
Phone (314) 476-0732

816 S Kirkwood Rd
Ste 105
Saint Louis, MO 63122
Phone (314) 288-3800

255 Spencer Rd
Ste 201
Saint Peters, MO 63376
Phone (636) 929-2550

Networks

  • IA HMO C-SNP
  • IA HMO

Organizations & group practices 2

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": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1043539711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2458 OLD DORSETT RD STE 110",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432423",
            "telephone_number": "636-939-2550",
            "fax_number": "636-939-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2025021622",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 10061",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLDOH DIV OF MED QUALITY ASSURANCE",
            "identifier": "SW10061",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

Verify at the official NPI Registry.