Individual provider Active NPI

Peter Scott Hummel, L.C.S.W.

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1215130620
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002093 Issued in MO
Practice address
4316 Lindell Blvd
Our Little Haven
Saint Louis, MO 63108-2702
Phone
(314) 533-2229
Fax
(314) 533-3098
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 002093 MO Primary

Addresses

Primary practice location

4316 Lindell Blvd
Our Little Haven
Saint Louis, MO 63108-2702

Mailing address

4316 Lindell Blvd
Our Little Haven
Saint Louis, MO 63108-2702
Phone (314) 533-2229

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
002093MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Our Little Haven Past Accepting new patients

Organizations & group practices 1

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215130620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 LINDELL BLVD",
            "address_2": "OUR LITTLE HAVEN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082702",
            "telephone_number": "314-533-2229",
            "fax_number": "314-533-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 LINDELL BLVD",
            "address_2": "OUR LITTLE HAVEN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082702",
            "telephone_number": "314-533-2229",
            "fax_number": "314-533-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMMEL",
        "first_name": "PETER",
        "middle_name": "SCOTT",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "002093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.