Individual provider Active NPI

Jeannie Kay Krause-Taylor, M.S.W.

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1336210400
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
001088 Issued in MO
Practice address
745 Craig Rd
Suite 212
Saint Louis, MO 63141-7160
Phone
(314) 395-7560
Fax
(314) 395-7563
NPI assigned
Nov 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 001088 MO Primary

Addresses

Primary practice location

745 Craig Rd
Suite 212
Saint Louis, MO 63141-7160

Mailing address

745 Craig Rd
Suite 212
Saint Louis, MO 63141-7160
Phone (314) 395-7560

Other identifiers 2

IdentifierTypeStateIssuer
193345OtherMOBLUE CROSS BLUE SHIELD MO
P00310880OtherMOMEDICARE RAILROAD CARRIER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1336210400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 CRAIG RD",
            "address_2": "SUITE 212",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417160",
            "telephone_number": "314-395-7560",
            "fax_number": "314-395-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 CRAIG RD",
            "address_2": "SUITE 212",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417160",
            "telephone_number": "314-395-7560",
            "fax_number": "314-395-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE-TAYLOR",
        "first_name": "JEANNIE",
        "middle_name": "KAY",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-12",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "001088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MO",
            "identifier": "193345",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "P00310880",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.