Individual provider Active NPI

Christy Katke, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1093816720
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW005494 Issued in MO
Practice address
2200 W Port Plaza Dr Ste 326
Saint Louis, MO 63146-3214
Phone
(314) 548-2121
Fax
(636) 333-4510
NPI assigned
Sep 26, 2006
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 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 SW005494 MO Primary

Addresses

Primary practice location

2200 W Port Plaza Dr Ste 326
Saint Louis, MO 63146-3214

Mailing address

15455 Manchester Rd Unit 161
Ballwin, MO 63022-5008
Phone (314) 548-2121

Other identifiers 2

IdentifierTypeStateIssuer
178672OtherMOBLUE CROSS BLUE SHIELD
440586OtherMOHEALTHLINK

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
I20040816000247 MO Practitioner - Clinical Social Worker 3678546934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2200 W Port Plaza Dr
Suite 326
Saint Louis, MO 63146-3214
Phone (314) 548-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW005494MOMDClinical Social Worker
5494MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
C Katke Counseling Services LLC Clinical CurrentSince Jul 1, 2015 Accepting new patients
Scott J Arbaugh MD Past Accepting new patients
Allied Behavioral Consultants, Inc. PastSince Dec 31, 1991 Accepting new patients
Northwest Psychiatric Associates, LTD Past Accepting new patients

Locations

15455 Manchester Rd
Unit 161
Ballwin, MO 63022

2200 West Port Plaza Dr
Ste 217
Saint Louis, MO 63146
Phone (314) 548-2121

2200 West Port Plaza Dr
Ste 326
Saint Louis, MO 63146
Phone (314) 308-8752

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1093816720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 MANCHESTER RD UNIT 161",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630225008",
            "telephone_number": "314-548-2121",
            "fax_number": "636-333-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W PORT PLAZA DR STE 326",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463214",
            "telephone_number": "314-548-2121",
            "fax_number": "636-333-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATKE",
        "first_name": "CHRISTY",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW005494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "178672",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "440586",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.