Individual provider Active NPI

Sarah Elizabeth Cirese-Payton, LMSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1053876292
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2020008264 Issued in MO
Practice address
3515 Broadway Blvd
Kansas City, MO 64111-2501
Phone
(816) 753-5144
NPI assigned
Feb 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2014041444 MO
Clinical Social Worker 1041C0700X 2020008264 MO Primary

Addresses

Primary practice location

3515 Broadway Blvd
Kansas City, MO 64111-2501

Mailing address

3515 Broadway Blvd
Kansas City, MO 64111-2501
Phone (816) 753-5144

Other practice location 1

2650 Olive St
Saint Louis, MO 63103-1489
Phone (314) 802-2647

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@providentstl.org Direct

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
I20190308000667 MO Practitioner - Clinical Social Worker 5698014629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Provident IncGroup PAC ID 0345217279, 19 clinicians

Practice addresses (Care Compare)

2650 Olive St
Saint Louis, MO 63103-1424
Phone (314) 802-2647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2014041444MOMDSocial Worker
2020008264MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Provident Inc. CurrentSince Sep 20, 2024 Accepting new patients
Provident Inc Past Accepting new patients

Locations

11166 Tesson Ferry Rd
Ste 300
Saint Louis, MO 63123
Phone (314) 802-2647

2650 Olive St
Saint Louis, MO 63103
Phone (314) 371-6500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1053876292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112501",
            "telephone_number": "816-753-5144",
            "fax_number": "816-753-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112501",
            "telephone_number": "816-753-5144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Olive St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631031489",
            "country_code": "US",
            "telephone_number": "314-802-2647",
            "fax_number": "314-842-2552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIRESE-PAYTON",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2014041444",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2020008264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@providentstl.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2650 Olive St",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631031489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.