Active NPI
Geoffrey J Moeller, LCSW
- Clinical Social Worker
- Florissant, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2018043946
- Practice address
- 1150 Graham Rd
Florissant, MO 63031-8077 - Phone
- (314) 206-3900
- NPI assigned
- May 14, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2018043946 | MO | Primary |
Addresses
Primary practice location
1150 Graham Rd
Florissant, MO 63031-8077
Mailing address
3309 S Kingshighway Blvd
Saint Louis, MO 63139-1101
Phone (314) 206-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231024002108 | MO | Practitioner - Clinical Social Worker | 1153777321 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3309 S Kingshighway Blvd
Saint Louis, MO 63139-1101
Phone (314) 206-3700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Current | Accepting new patients | |
| Compass Health, Inc | Clinical | Current | Accepting new patients |
| BJC Behavioral Health | Current | Accepting new patients | |
| BJC Behavioral Health | Current | Accepting new patients | |
| Community Alternatives, Inc. | Past | Accepting new patients |
Locations
1800 Community
#B
Clinton, MO 64735
1800 Community
Clinton, MO 64735
Phone (660) 885-8131
1150 Graham Rd
Ste 101102
Florissant, MO 63031
Phone (314) 337-3647
102 Compass Point Dr
Saint Charles, MO 63301
Phone (636) 332-8318
3309 S Kingshighway Blvd
Saint Louis, MO 63139
Phone (314) 534-9350
1032 Crosswinds Ct
Wentzville, MO 63385
Phone (636) 332-6000
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saint Louis, MO
- NPI 1669485868
MO
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Farmington, MO
- NPI 1801807847
-
- Federally Qualified Health Center (FQHC)
- Rolla, MO
- NPI 1558258632
-
- Community/Behavioral Health Agency
- Saint Louis, MO
- NPI 1932263423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1225205685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3309 S KINGSHIGHWAY BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631391101",
"telephone_number": "314-206-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 GRAHAM RD",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630318077",
"telephone_number": "314-206-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOELLER",
"first_name": "GEOFFREY",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-14",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2018043946",
"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 Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.