Individual provider Active NPI

Claycie Leighann Gerlt, LCSW

  • Clinical Social Worker
  • Creve Coeur, MO
National Provider Identifier
1093582595
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2012027801 Issued in MO
Practice address
967 Gardenview Office Pkwy
Creve Coeur, MO 63141-5917
Phone
(314) 561-9757
NPI assigned
Dec 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2012027801 MO Primary

Addresses

Primary practice location

967 Gardenview Office Pkwy
Creve Coeur, MO 63141-5917

Mailing address

830 Green Lantern LN
Ballwin, MO 63011-2818
Phone (573) 256-9523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012027801MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Claycie Gerlt LLC Clinical CurrentSince Jun 28, 2025 Accepting new patients
The Center for Mindfulness and CBT, LLC PastSince Dec 10, 2023 Accepting new patients

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": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1093582595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 GREEN LANTERN LN",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112818",
            "telephone_number": "573-256-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 GARDENVIEW OFFICE PKWY",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415917",
            "telephone_number": "314-561-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERLT",
        "first_name": "CLAYCIE",
        "middle_name": "LEIGHANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2012027801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.