Active NPI
Sarah Elizabeth Cirese-Payton, LMSW
- Clinical Social Worker
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2020008264
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2014041444 | MO | MD | Social Worker |
| 2020008264 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Provident Inc. | Current | 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.
-
- Mental Health Counselor
- Saint Louis, MO
- NPI 1710023791
-
- Mental Health Counselor
- Saint Louis, MO
- NPI 1043491020
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.