Individual provider Active NPI

Patricia Ann Ferrugia, MSW, LCSW

  • Social Worker
  • Saint Louis, MO
National Provider Identifier
1104285246
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
8772 Big Bend Blvd
Creative Change,LLC
Saint Louis, MO 63119-3730
Phone
(314) 962-7788
Fax
(314) 962-4158
NPI assigned
Feb 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

8772 Big Bend Blvd
Creative Change,LLC
Saint Louis, MO 63119-3730

Mailing address

8772 Big Bend Blvd
Creative Change,LLC
Saint Louis, MO 63119-3730
Phone (314) 962-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Change, LLC CurrentSince Jan 1, 2017 Accepting new patients

Locations

177 Clarkson Executive Park
Ellisville, MO 63011
Phone (314) 962-7788

50 Crestwood Executive Ctr
Ste 435
Saint Louis, MO 63126
Phone (314) 254-3455

8772 Big Bend Blvd
Webster Grvs, MO 63119
Phone (314) 962-7788

Organizations & group practices 1

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": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1104285246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8772 BIG BEND BLVD",
            "address_2": "CREATIVE CHANGE,LLC",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631193730",
            "telephone_number": "314-962-7788",
            "fax_number": "314-962-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8772 BIG BEND BLVD",
            "address_2": "CREATIVE CHANGE,LLC",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631193730",
            "telephone_number": "314-962-7788",
            "fax_number": "314-962-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRUGIA",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.