Active NPI
Julia Tuberty Kiehl, LCSW
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1235794793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2000175446
- Practice address
- 2220 Lemp Ave
Saint Louis, MO 63104-2700 - Phone
- (314) 814-8700
- Fax
- (314) 814-8542
- NPI assigned
- May 9, 2019
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2000175446 | MO | Primary |
Addresses
Primary practice location
2220 Lemp Ave
Saint Louis, MO 63104-2700
Mailing address
PO Box 551
Saint Louis, MO 63188-0551
Phone (314) 814-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000175446 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ritad@affiniahealthcare.org | Direct |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000175446 | MO | MD | Clinical Social Worker |
Interoperability endpoints
- julie.kiehl.p1@direct.affiniahealthcare.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1902816077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1235794793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 551",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631880551",
"telephone_number": "314-814-8700",
"fax_number": "314-814-8542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 LEMP AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631042700",
"telephone_number": "314-814-8700",
"fax_number": "314-814-8542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUBERTY KIEHL",
"first_name": "JULIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-09",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2000175446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2000175446",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ritad@affiniahealthcare.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "314-814-8531",
"address_1": "2220 Lemp Ave",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631042700",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 9, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.