Kathryn G O'Brien, MAED, LCSW, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW002778 Issued in MO

Practice address

3009 Shenandoah Ave
Saint Louis, MO 63104-1741

Phone

(314) 623-6659

NPI assigned

Dec 3, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1265734727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N RIO GRANDE CT APT 714",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034296",
            "telephone_number": "636-288-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 SHENANDOAH AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041741",
            "telephone_number": "314-623-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "KATHRYN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MAED, LCSW, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW002778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward O'Brien, M.D.
• Emily C O'Brien, OD
• Frank Joseph O'Brien, MD
• Jillian O'Brien, LPC
• Katherine O'Brien, MD
• Marisa A O'Brien, OD
• Mary C O'Brien, L.P.C.
• Nora Elizabeth O'Brien, ANP
• Richard Lane O'Brien, D.D.S.
• Kevin Sullivan O'Bryan, MD

• 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 Mar 28, 2019; 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.