Kelly Sherman Storck, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1999138003 Issued in MO

Practice address

9920 Watson Rd
Ste. 114
Saint Louis, MO 63126-1834

Phone

(314) 540-8593

NPI assigned

Oct 9, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Sep 7, 2016 through Sep 7, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1326236928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 RIDGE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194272",
            "telephone_number": "314-968-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 WATSON RD",
            "address_2": "STE. 114",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261834",
            "telephone_number": "314-540-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORCK",
        "first_name": "KELLY",
        "middle_name": "SHERMAN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "1999138003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley P Stoner, MD
• Gabrielle Stones
• Cynthia Renee Stonich, LMSW
• Amy Stoppelman, LCSW
• Gregory Alworth Storch, MD
• Thomas Joseph Storck I, RPH
• Stork Obstetrics & Gynecology Inc
• Storm Therapy LLC
• Jill Storm, MED
• Kathryn Marie Storm, PHARM.D.

• 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 9, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.