Individual provider Active NPI

Jean Stanton Caine, LCSW, LMFT

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1114061462
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW002182 Issued in MO
Practice address
7750 Clayton Rd Ste 204
Saint Louis, MO 63117-1342
Phone
(314) 781-9181
Fax
(314) 781-4883
NPI assigned
Feb 19, 2007
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW002182 MO Primary
Marriage & Family Therapist 106H00000X 300053 MO

Addresses

Primary practice location

7750 Clayton Rd Ste 204
Saint Louis, MO 63117-1342

Mailing address

7700 Clayton Rd
Suite 309
Saint Louis, MO 63117-1328
Phone (314) 781-9181

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW002182MOMDClinical Social Worker
300053MOMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1114061462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 CLAYTON RD",
            "address_2": "SUITE 309",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171328",
            "telephone_number": "314-781-9181",
            "fax_number": "314-781-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 CLAYTON RD STE 204",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171342",
            "telephone_number": "314-781-9181",
            "fax_number": "314-781-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAINE",
        "first_name": "JEAN",
        "middle_name": "STANTON",
        "credential": "LCSW, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW002182",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "300053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.