Active NPI
Tandra Lyn McCain, B.S.W.
- Social Worker
- Florissant, MO
National Provider Identifier
1184879520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2722 N Highway 67
Florissant, MO 63033-1402 - Phone
- (314) 276-3605
- Fax
- (636) 244-2755
- NPI assigned
- Nov 26, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2722 N Highway 67
Florissant, MO 63033-1402
Mailing address
1420 Park Ashwood Circle
Apt E
Saint Charles, MO 63304
Phone (314) 276-3605
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227657600000",
"number": "1184879520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 PARK ASHWOOD CIRCLE",
"address_2": "APT E",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "63304",
"telephone_number": "314-276-3605",
"fax_number": "636-244-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2722 N HIGHWAY 67",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630331402",
"telephone_number": "314-276-3605",
"fax_number": "636-244-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAIN",
"first_name": "TANDRA",
"middle_name": "LYN",
"credential": "B.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-26",
"last_updated": "2008-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.