Theresa Beckles, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2018020032 Issued in MO

Practice address

11358 Van Cleve Ave
Saint Louis, MO 63114-1131

Phone

(314) 968-2350

NPI assigned

Sep 5, 2018

Last updated

Aug 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Children's Home Society of Missouri

  dba FamilyForward

  • Clinic/Center
  • Saint Louis, MO
  • NPI 1134244353

  Clinical

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1194207167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11358 VAN CLEVE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631141131",
            "telephone_number": "314-968-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11358 VAN CLEVE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631141131",
            "telephone_number": "314-968-2350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1167 Corporate Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631321716",
            "country_code": "US",
            "telephone_number": "314-968-2350 x5294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKLES",
        "first_name": "THERESA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2020037926",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018020032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L Becker, MD
• Sarah Rebecah Becker, FNP
• William Lesing Becker, M.D.
• Susan M Beckering, ACNP
• Janice Beckert, M.ED., LPC
• Robert Fred Beckman, M.D.
• Magdalene Beckmann-Petermeyer, LCSW
• Antoinette Beckmann, RN
• Breanna Virginia Beckmann, OTR, OTD
• Michelle L Beckton

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.