Active NPI
Laura Michelle McClure
- Clinical Social Worker
- Desloge, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1136 N Desloge Dr Ste B
Desloge, MO 63601-2900 - Phone
- (314) 520-4650
- NPI assigned
- May 15, 2017
- Last updated
- May 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1136 N Desloge Dr Ste B
Desloge, MO 63601-2900
Mailing address
3 Cusumano Professional Plaza Dr Ste B
Mount Vernon, IL 62864-6736
Phone (314) 627-0313
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4625 Lindell Blvd
Suite 200And300
Saint Louis, MO 63108-3725
Phone (866) 630-0966
816 S Kirkwood Rd
Suite 105
Kirkwood, MO 63122-6056
Phone (314) 288-3800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Psychological & Behavioral Consultants, LLC | Clinical | Current | Accepting new patients |
| Dynamic Counseling and Consultation Services | Clinical | Past | Accepting new patients |
Locations
107 W 9th St
Fl 2
Kansas City, MO 64105
Phone (505) 382-2776
4625 Lindell Blvd
Ste 200300
Saint Louis, MO 63108
Phone (314) 396-7900
816 S Kirkwood Rd
Ste 105
Saint Louis, MO 63122
Phone (314) 288-3800
255 Spencer Rd
Ste 201
Saint Peters, MO 63376
Phone (636) 929-2550
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LifeStance Health
- Psychiatry Physician
- Beachwood, OH
- NPI 1811915713
Clinical, MO
-
- Clinical Social Worker
- Mount Vernon, IL
- NPI 1457771677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494806400000",
"number": "1154858660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CUSUMANO PROFESSIONAL PLAZA DR STE B",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628646736",
"telephone_number": "314-627-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 N DESLOGE DR STE B",
"city": "DESLOGE",
"state": "MO",
"postal_code": "636012900",
"telephone_number": "314-520-4650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLURE",
"first_name": "LAURA",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-15",
"last_updated": "2017-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Desloge, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.