Individual provider Active NPI

Anita Mehra, MSW, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1144371568
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2004022079 Issued in MO
Practice address
10000 Watson Rd Ste 2L13
Saint Louis, MO 63126-1844
Phone
(314) 729-0837
Fax
(314) 966-6065
NPI assigned
Jan 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2004022079 MO Primary

Addresses

Primary practice location

10000 Watson Rd Ste 2L13
Saint Louis, MO 63126-1844

Mailing address

PO Box 240014
Ballwin, MO 63024-0014
Phone (314) 729-0837

Other identifiers 1

IdentifierTypeStateIssuer
499181204MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20050203000976 MO Practitioner - Clinical Social Worker 0143271494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community and Long-Term Care Psychiatry LLCGroup PAC ID 4486949773, 14 clinicians

Practice addresses (Care Compare)

10004 Kennerly Rd
Suite 362B
Saint Louis, MO 63128-2178
Phone (314) 525-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2004022079MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ravi Mehra MD, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: anita.mehra.1@20454.direct.athenahealth.com

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": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1144371568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240014",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630240014",
            "telephone_number": "314-729-0837",
            "fax_number": "314-966-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 WATSON RD STE 2L13",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261844",
            "telephone_number": "314-729-0837",
            "fax_number": "314-966-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRA",
        "first_name": "ANITA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-13",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004022079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499181204",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.