Momentum Coaching Group LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2014023114 Issued in MO

Legal business name

MOMENTUM COACHING GROUP LLC

Practice address

7710 Carondelet Ave Ste 204
Saint Louis, MO 63105-3319

Phone

(314) 439-1005

NPI assigned

Oct 23, 2017

Organization subpart

No

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

Authorized official

Name

Mr. David Weinberg, LCSW

Title

Owner/Clinical Director

Phone

(314) 439-1005

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1245741727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 CARONDELET AVE STE 204",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053319",
            "telephone_number": "314-439-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 CARONDELET AVE STE 204",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053319",
            "telephone_number": "314-439-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM COACHING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "314-439-1005",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2011036949",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013007093",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2014023114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Moments Hospice of St Louis LLC
• Momentum Home Care Services LLC
• Margaret Momoh
• Amir Javad Momtahen, MD
• John Monaco, D.D.S.
• Monaghan Health Group Inc

• 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 Oct 23, 2017; 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.