Individual provider Active NPI

Angela Casimere, MA,LCSW

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1336687672
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003883 Issued in MO
Practice address
9200 Watson Rd
Saint Louis, MO 63126-1528
Phone
(314) 544-3800
Fax
(314) 843-0552
NPI assigned
Feb 7, 2017
Last updated
Feb 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 003883 MO Primary

Addresses

Primary practice location

9200 Watson Rd
Saint Louis, MO 63126-1528

Mailing address

20 Sugarwood CT
Saint Peters, MO 63376-7457
Phone (636) 928-4297

Other identifiers 1

IdentifierTypeStateIssuer
003883OtherMOLICENSE CLINICAL SOCIAL WORKER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170410000923 MO Practitioner - Clinical Social Worker 8628354495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Louis Counseling, IncGroup PAC ID 7214901289, 14 clinicians

Practice addresses (Care Compare)

1385 Harkee Dr
Florissant, MO 63031-3434
Phone (314) 831-1533

5 Premier Dr
Suite 200
Fenton, MO 63026-2943
Phone (314) 544-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
St Louis Counseling Inc CurrentSince Mar 7, 2017 Accepting new patients
Catholic Family Services Inc. Mental Health CurrentSince Mar 7, 2017 Accepting new patients

Locations

5 Premier Dr
Ste 200
Fenton, MO 63026
Phone (314) 314-3800

9200 Watson Rd
Ste G101
Saint Louis, MO 63126
Phone (314) 367-5500

Organizations & group practices 2

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": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1336687672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SUGARWOOD CT",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767457",
            "telephone_number": "636-928-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261528",
            "telephone_number": "314-544-3800",
            "fax_number": "314-843-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIMERE",
        "first_name": "ANGELA",
        "name_prefix": "Miss",
        "credential": "MA,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "003883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE CLINICAL SOCIAL WORKER",
            "identifier": "003883",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.