Laura Michelle McClure – Clinical Social Worker

Key facts

NPI: 1154858660
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
Practice address: 1136 N Desloge Dr Ste B
Desloge, MO 63601-2900
Phone: (314) 520-4650
NPI assigned: May 15, 2017
Sex: Female
Sole proprietor: Yes

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 and National Provider Directory roles.

Psychological & Behavioral Consultants, LLC Psychiatry Physician · Beachwood, OH · NPI 1811915713

Medicare reassignment Care Compare group NPD CLINICAL · MO
Sondermind Provider Network LLC Clinical Social Worker · Denver, CO · NPI 1760854442

Medicare reassignment Care Compare group NPD CLINICAL · MO
Dynamic Counseling and Consultation Services Clinical Social Worker · Mount Vernon, IL · NPI 1457771677

NPD (past) CLINICAL

Medicare Care Compare profile

Specialty: Clinical Social Worker
Education: Other, 2017
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Sondermind Provider Network LLC (1,295 clinicians)
Psychological and Behavioral Consultants LLC (595 clinicians)

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

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MO
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20210831001607	MO	Practitioner - Clinical Social Worker	8921404971	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Sondermind Provider Network LLC	Clinical	Current since Aug 23, 2021	Accepting new patients
Psychological & Behavioral Consultants, LLC	Clinical	Current since Jan 1, 2023	Accepting new patients
Dynamic Counseling and Consultation Services	Clinical	Past since Sep 5, 2018	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

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X			Yes

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

Other providers in Desloge, MO

All providers in Desloge, MO · Clinical Social Worker in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.