Individual provider Active NPI

Laura Ann Valley, MSW, LCSW, CTMH

  • Clinical Social Worker
  • Glen Carbon, IL
National Provider Identifier
1174993182
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005386 Issued in MO
Practice address
121 E Willow Bend Dr
Glen Carbon, IL 62034-1539
Phone
(314) 494-5946
NPI assigned
Oct 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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 005386 MO Primary

Addresses

Primary practice location

121 E Willow Bend Dr
Glen Carbon, IL 62034-1539

Mailing address

121 E Willow Bend Dr
Glen Carbon, IL 62034-1539
Phone (314) 494-5946

Other practice location 1

737 Dunn Rd
Hazelwood, MO 63042-1740
Phone (314) 494-5946

Other practice location 2

217 Suppiger Ln
Highland, IL 62249-1132
Phone (314) 494-5946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
005386MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Aspire Therapy PLLC Clinical CurrentSince Jan 29, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lauravalley@tdh.allscriptsdirect.net

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": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1174993182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E WILLOW BEND DR",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341539",
            "telephone_number": "314-494-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E WILLOW BEND DR",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341539",
            "telephone_number": "314-494-5946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "737 Dunn Rd",
            "address_purpose": "LOCATION",
            "city": "Hazelwood",
            "state": "MO",
            "postal_code": "630421740",
            "country_code": "US",
            "telephone_number": "314-494-5946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 Suppiger Ln",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IL",
            "postal_code": "622491132",
            "country_code": "US",
            "telephone_number": "314-494-5946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLEY",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "MSW, LCSW, CTMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "005386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Carbon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.