Amber Lynn Trudell, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

T092076003 Issued in MO

Practice address

508 N Truman Blvd Ste J
Crystal City, MO 63019-1344

Phone

(636) 232-8328

Fax

(888) 388-2749

NPI assigned

Jul 25, 2024

Sex

Female

Sole proprietor

No

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

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

Specialty

Clinical Social Worker

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Trudell Counseling LLC

  • Professional Counselor
  • Crystal City, MO
  • NPI 1184516668

  Social Worker

  Medicare reassignment NPD
• Trudell Counseling

  • Professional Counselor
  • Crystal City, MO
  • NPI 1194597674
  NPD
• Jefferson Franklin Community Action Corp

  • Community/Behavioral Health Agency
  • Hillsboro, MO
  • NPI 1942747118
  NPD (past)

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1295563534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12772 STATE ROAD TT",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284345",
            "telephone_number": "636-232-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N TRUMAN BLVD STE J",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "630191344",
            "telephone_number": "636-232-8328",
            "fax_number": "888-388-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUDELL",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "T092076003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara M Taylor, PA-C
• Tiffany Nicole Thomas, MA, LPC
• Trinity Family Chiropractic, LLC
• Trudell Counseling
• Trudell Counseling LLC
• Deborah Trudell, MA
• Twin City Healt Services
• Twin City Residential Care, Inc.
• William L Underwood, MD
• Urology Today, LLC

• Social Worker in Crystal City, MO
• Providers in Crystal City, MO by specialty
• Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.