St. Louis Stress Clinic LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ST. LOUIS STRESS CLINIC LLC

Practice address

677 N New Ballas Rd Ste 206
Creve Coeur, MO 63141-6732

Phone

(314) 528-2011

NPI assigned

Jan 27, 2020

Organization subpart

No

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

Authorized official

Name

Ann Christine Filonow, LCSWNPI 1699135913

Title

Owner, Therapist

Phone

(315) 528-2011

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann Christine Filonow, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1699135913
  Medicare reassignment NPD Authorized official
• Kara A Dial, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1770074833
  NPD

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1073144317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 N NEW BALLAS RD STE 206",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416732",
            "telephone_number": "314-528-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 N NEW BALLAS RD STE 206",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416732",
            "telephone_number": "314-528-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS STRESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "FILONOW",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "315-528-2011",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Creve Coeur, MO
• Providers in Creve Coeur, 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 Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.