Individual provider Active NPI

Brian A Coady, MSW LCSW

  • Clinical Social Worker
  • Saint Charles, MO
National Provider Identifier
1265593040
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2005001211 Issued in MO
Practice address
1600 Heritage Landing
Suite 212C
St Charles, MO 63303
Phone
(636) 345-1400
Fax
(630) 441-3262
NPI assigned
Dec 13, 2006
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 2005001211 MO Primary

Addresses

Primary practice location

1600 Heritage Landing
Suite 212C
St Charles, MO 63303

Mailing address

1600 Heritage Landing
Suite 212C
St Charles, MO 63304
Phone (636) 345-1400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150102000693 MO Practitioner - Clinical Social Worker 5092038810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

16020 Swingley Ridge Rd
Suite 300
Chesterfield, MO 63017-2085
Phone (636) 939-2550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2005001211MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince Sep 16, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

16020 Swingley Ridge Rd
Ste 300
Chesterfield, MO 63017
Phone (636) 432-5000

255 Spencer Rd
Ste 201
Saint Peters, MO 63376
Phone (636) 929-2550

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265593040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HERITAGE LANDING",
            "address_2": "SUITE 212C",
            "city": "ST CHARLES",
            "state": "MO",
            "postal_code": "63304",
            "telephone_number": "636-345-1400",
            "fax_number": "636-441-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HERITAGE LANDING",
            "address_2": "SUITE 212C",
            "city": "ST CHARLES",
            "state": "MO",
            "postal_code": "63303",
            "telephone_number": "636-345-1400",
            "fax_number": "630-441-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COADY",
        "first_name": "BRIAN",
        "middle_name": "A",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2005001211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.