Memory Keepers, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MEMORY KEEPERS, LLC

Practice address

747 Samoa Dr
Saint Louis, MO 63126-1458

Phone

(314) 749-8783

NPI assigned

Aug 17, 2021

Organization subpart

No

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

Authorized official

Name

Victoria Shepherd

Title

Administrator

Phone

(314) 315-5148

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl Kinney, LCSW

  • Clinical Social Worker
  • Manchester, MO
  • NPI 1992328710
  Medicare reassignment NPD
• Brittany Lueken

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1427738749
  NPD

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1114693611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 SAMOA DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 SAMOA DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261458",
            "telephone_number": "314-749-8783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1237 Warson Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631221735",
            "country_code": "US",
            "telephone_number": "314-266-9131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEMORY KEEPERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-315-5148"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Ishmael Membreno, MD
• Esat I Memisoglu, MD
• Aliza Anwar Memon, MD
• Rohail Memon
• Memory Care Home Solutions
• Memory Training Services LLC
• Ellis Basil Memos, DDS
• Men'S Medical Institute LLC
• Alison R Menatti, PHD
• Stefan Santiago Menchaca

• 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 Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.