Jama Gay Anthony-Petter, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW001334 Issued in MO

Practice address

11222 Tesson Ferry Rd
Suite 200
Saint Louis, MO 63123-6963

Phone

(314) 971-3051

Fax

(314) 822-7562

NPI assigned

Jun 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265637243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 SHERILIN DR",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631222324",
            "telephone_number": "314-971-3051",
            "fax_number": "314-822-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11222 TESSON FERRY RD",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236963",
            "telephone_number": "314-971-3051",
            "fax_number": "314-822-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY-PETTER",
        "first_name": "JAMA",
        "middle_name": "GAY",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW001334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "SWOO1334",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony J Tegenkamp,DMD,LLC
• Anthony J. Marino, D.D.S. , P.C.
• Anthony Schultz, M.D., S.C.
• Anthony Udziela PHD LLC
• Irene Anthony-Jones, PHARMD
• Brittanie Anthony
• Candace Elis Anthony, M.ED., LPC
• Denzel Jamaree Thomas Anthony, CRC
• Nicholas Alan Anthony, DO
• Robert E Anthony, MSW

• 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 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.