NPIMap

Organization Active NPI

Sue Gouaux LLC

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1093015398
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000393 Issued in MI
Legal business name
SUE GOUAUX LLC
Practice address
8000 Bonhomme Ave
Suite 321
Saint Louis, MO 63105-3515
Phone
(314) 726-0011
Fax
(314) 721-7109
NPI assigned
Nov 2, 2010
Last updated
Nov 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Sue M Gouaux, LCSWNPI 1558570804
Title
Owner
Phone
(314) 726-0011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 000393 MI Primary

Addresses

Primary practice location

8000 Bonhomme Ave
Suite 321
Saint Louis, MO 63105-3515

Mailing address

8000 Bonhomme Ave
Suite 321
Saint Louis, MO 63105-3515
Phone (314) 726-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110103000984 MO Part B Supplier - Clinic/Group Practice 4587852751 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

8000 Bonhomme Ave
Ste 217
Saint Louis, MO 63105
Phone (314) 726-0011

8000 Bonhomme Ave
Ste 321
Saint Louis, MO 63105
Phone (314) 726-0011

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1093015398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 BONHOMME AVE",
            "address_2": "SUITE 321",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053515",
            "telephone_number": "314-726-0011",
            "fax_number": "314-721-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 BONHOMME AVE",
            "address_2": "SUITE 321",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053515",
            "telephone_number": "314-726-0011",
            "fax_number": "314-721-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE GOUAUX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "GOUAUX",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-726-0011",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "000393",
            "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 Nov 2, 2010; 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.