Individual provider Active NPI

Brian L Winkler, LCSW

  • Social Worker
  • St Louis, MO
National Provider Identifier
1104952431
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
004673 Issued in MO
Practice address
4144 Lindell Blvd
Suite 501
St Louis, MO 63108
Phone
(314) 531-3300
Fax
(314) 531-7587
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 004673 MO Primary

Addresses

Primary practice location

4144 Lindell Blvd
Suite 501
St Louis, MO 63108

Mailing address

4144 Lindell Blvd
Suite 501
St Louis, MO 63108
Phone (314) 531-3300

Other identifiers 1

IdentifierTypeStateIssuer
120354OtherVALUE OPTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004673MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Employee Assistance Plus LLC CurrentSince Apr 20, 2009 Accepting new patients
Employee Assistance Plus Social Worker PastSince Apr 20, 2009 Accepting new patients

Locations

4144 Lindell Blvd
Ste 501
Saint Louis, MO 63108
Phone (314) 531-3300

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104952431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 LINDELL BLVD",
            "address_2": "SUITE 501",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63108",
            "telephone_number": "314-531-3300",
            "fax_number": "314-531-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 LINDELL BLVD",
            "address_2": "SUITE 501",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63108",
            "telephone_number": "314-531-3300",
            "fax_number": "314-531-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKLER",
        "first_name": "BRIAN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "004673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "120354",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.