Mary Katherine Willard, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2019007551 Issued in MO

Practice address

7750 Clayton Rd Ste 310
Saint Louis, MO 63117-1341

Phone

(314) 858-6884

NPI assigned

May 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Willard Virant Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1104483429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LAKE FOREST DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171304",
            "telephone_number": "978-257-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 CLAYTON RD STE 310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171341",
            "telephone_number": "314-858-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2019007551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katie@kwvtherapy.com",
            "affiliation": "N",
            "address_1": "7750 Clayton Rd Ste 310",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631171341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "VIRANT",
            "middle_name": "WILLARD",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Beverly Wilks
• Elizabeth (Lisa) Pullen Will-Smith, LCSW
• Jill Nicole Will, DPT
• Kerry Catherine Will, MD
• Erin Renae Willard, PA-C
• Sam Willard
• Joanna Mary Cher J. Willbrand
• Gail Willden, LPC, LMHC
• Aaron Justin Thurman Wille, MD
• Denise Michelle Sarver Willers, MD

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.