Keyria Shantell Jeffries, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2016036063 Issued in MO

Practice address

2617 Shenandoah Ave
St. Louis, MO 63104

Phone

(314) 399-1576

NPI assigned

Aug 25, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eagle College Prep Endeavor

  • Local Education Agency (LEA)
  • Saint Louis, MO
  • NPI 1477099117
  NPD (past)

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326565847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 SHENANDOAH AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042311",
            "telephone_number": "314-399-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 SHENANDOAH AVE",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63104",
            "telephone_number": "314-399-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "KEYRIA",
        "middle_name": "SHANTELL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2016036063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSW",
            "identifier": "2016036063",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey S. O'Guin D.C., LLC
• Jeffrey T Reed
• Florence Sue Jeffreys, RN MSN ANP
• Charlya Jeffries
• Jim Jeffries, D.O.
• Lindsay D Jeffries, LPC
• Michael C Jeffries, PA-C
• Timothy Jeffries, PHARMD
• Jasmine R Jefko, M.A., CF-SLP
• Daniel Jekov

• Social Worker in St. Louis, MO
• Providers in St. Louis, 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 21, 2022; 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.