Active NPI
Shayna Warner, LCSW
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1053936302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2020000398
- Practice address
- 12141 Ladue Rd
Saint Louis, MO 63141-8120 - Phone
- (314) 878-4340
- Fax
- (314) 878-4524
- NPI assigned
- Jun 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2020000398 | MO | Primary |
Addresses
Primary practice location
12141 Ladue Rd
Saint Louis, MO 63141-8120
Mailing address
12141 Ladue Rd
Saint Louis, MO 63141-8120
Phone (314) 878-4340
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200721003450 | MO | Practitioner - Clinical Social Worker | 3678997897 | 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
- Group practices
- Sonder Counseling LLC
Practice addresses (Care Compare)
230 S Bemiston Ave
Suite 1006
Clayton, MO 63105-1907
Phone (314) 925-2634
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020000398 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonder Counseling LLC | Current | Accepting new patients |
Locations
230 S Bemiston Ave
Ste 1006
Saint Louis, MO 63105
Phone (314) 925-2634
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591920000000",
"number": "1053936302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12141 LADUE RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418120",
"telephone_number": "314-878-4340",
"fax_number": "314-878-4524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12141 LADUE RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418120",
"telephone_number": "314-878-4340",
"fax_number": "314-878-4524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "SHAYNA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-12",
"last_updated": "2020-06-12",
"certification_date": "2020-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2020000398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.