Individual provider Active NPI

Mary Hamiel, MSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1124685581
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149..027040 Issued in IL
Practice address
6355 Garesche Ave
Saint Louis, MO 63136-3445
Phone
(314) 623-0297
NPI assigned
May 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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
Clinical Social Worker 1041C0700X 149..027040 IL Primary

Addresses

Primary practice location

6355 Garesche Ave
Saint Louis, MO 63136-3445

Mailing address

6355 Garesche Ave
Saint Louis, MO 63136-3445
Phone (314) 623-0297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241203002242 IL Practitioner - Clinical Social Worker 1658806427 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149..027040ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Advocacy Center Current Accepting new patients
Touchette Regional Hospital Inc CurrentSince Jan 19, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 1, 2024 Accepting new patients
Mary Advocacy Center Clinical Current Accepting new patients

Locations

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060

2071 Goose Lake Rd
Sauget, IL 62206
Phone (314) 872-1473

Organizations & group practices 4

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": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1124685581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 GARESCHE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631363445",
            "telephone_number": "314-623-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 GARESCHE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631363445",
            "telephone_number": "314-623-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMIEL",
        "first_name": "MARY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149..027040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.