Individual provider Active NPI

Cindy Haller, LCSW

  • Social Worker
  • Chesterfield, MO
National Provider Identifier
1083074876
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2183 Wide Oak CT
Chesterfield, MO 63017-7226
Phone
(314) 541-1198
NPI assigned
Mar 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

2183 Wide Oak CT
Chesterfield, MO 63017-7226

Mailing address

2183 Wide Oak CT
Chesterfield, MO 63017-7226
Phone (314) 541-1198

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
I20190830000988 MO Practitioner - Clinical Social Worker 7911235890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

439 S Kirkwood Rd
Suite 208
Kirkwood, MO 63122-6100
Phone (314) 202-6867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Mental Health Associates PC CurrentSince Aug 21, 2019 Accepting new patients
Shanti Source Counseling LLC CurrentSince Apr 7, 2020 Accepting new patients

Locations

1300 County Farm Rd
Cassville, MO 65625
Phone (417) 847-3386

439 S Kirkwood Rd
Ste 208
Saint Louis, MO 63122
Phone (314) 202-6867

1441 Charic Dr
Wildwood, MO 63021
Phone (636) 394-2522

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

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": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1083074876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2183 WIDE OAK CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177226",
            "telephone_number": "314-541-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2183 WIDE OAK CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177226",
            "telephone_number": "314-541-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLER",
        "first_name": "CINDY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.