Individual provider Active NPI

Stormy Tovar

  • Clinical Social Worker
  • Clayton, MO
National Provider Identifier
1083163166
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149027304 Issued in IL
Practice address
8000 Bonhomme Ave Ste 206
Clayton, MO 63105-3515
Phone
(833) 822-5537
Fax
(949) 863-5179
NPI assigned
Sep 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 149027304 IL Primary
Assistant Behavior Analyst 106E00000X

Addresses

Primary practice location

8000 Bonhomme Ave Ste 206
Clayton, MO 63105-3515

Mailing address

1041 Maywood LN
Apt 222
Martinez, CA 94553-6563
Phone (773) 308-3811

Other practice location 1

545 Estudillo Ave
San Leandro, CA 94577-4611
Phone (510) 352-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241001002402 IL Practitioner - Clinical Social Worker 1557892510 Reassigns benefits to 2 organizations
I20251017003663 MO Practitioner - Clinical Social Worker 1557892510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8000 Bonhomme Ave
Suite 206
Saint Louis, MO 63105-1811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149027304ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emergence Psychological Services CurrentSince Oct 1, 2025 Accepting new patients
Vitae Health Medical Illinois, PLLC Clinical CurrentSince Sep 10, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 30, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

3450 Oakton St
Ste 300
Skokie, IL 60076

8000 Bonhomme Ave
Ste 206
Saint Louis, MO 63105
Phone (314) 800-4215

Organizations & group practices 3

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": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1083163166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 MAYWOOD LN",
            "address_2": "APT 222",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945536563",
            "telephone_number": "773-308-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 BONHOMME AVE STE 206",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053515",
            "telephone_number": "833-822-5537",
            "fax_number": "949-863-5179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Estudillo Ave",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945774611",
            "country_code": "US",
            "telephone_number": "510-352-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOVAR",
        "first_name": "STORMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149027304",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, MO

Sources for this page

Verify at the official NPI Registry.