Personal Potentials, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PERSONAL POTENTIALS, INC.

Practice address

10000 Watson Rd
Ste. # 2L18
Saint Louis, MO 63126-1854

Phone

(314) 822-4727

Fax

(314) 822-0531

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Joan Cassilly Petersen, MSW

Title

President

Phone

(314) 822-4727

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Diane Newell, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1386753184
  NPD (past)
• Gerarda Theresa Weis, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1922117647
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336220524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 WATSON RD",
            "address_2": "STE. # 2L18",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261854",
            "telephone_number": "314-822-4727",
            "fax_number": "314-822-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 WATSON RD",
            "address_2": "STE. # 2L18",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261854",
            "telephone_number": "314-822-4727",
            "fax_number": "314-822-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL POTENTIALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "CASSILLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-822-4727",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Person, MSW
• Olivia Grace Person, MD
• Personal Care Home Health SVCS., LLC
• Personal Care Home Health SVCS., LLC
• Personal Home Care CDS, LLC
• Personal Senior Resources
• Personal Touch PCS LLC
• Vanessa-Giselle Peschard, MD
• Fatema Peshawarwala
• Alan Pestronk, 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 Aug 22, 2020; 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.