Active NPI
Carol Elise Newmark, LCSW
- Clinical Social Worker
- Chesterfield, MO
National Provider Identifier
1336880848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 000611
- Practice address
- 538 Westernmill Dr
Chesterfield, MO 63017-2737 - Phone
- (314) 807-1596
- NPI assigned
- Apr 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 000611 | MO | Primary |
| Clinical Social Worker | 1041C0700X | 128131 | WI | |
| Clinical Social Worker | 1041C0700X | 150101647 | IL |
Addresses
Primary practice location
538 Westernmill Dr
Chesterfield, MO 63017-2737
Mailing address
538 Westernmill Dr
Chesterfield, MO 63017-2737
Phone (314) 807-1596
Other practice location 1
538 Westernmill Dr
Chesterfield, MO 63017-2737
Phone (314) 807-1596
Other practice location 2
538 Westernmill Dr
Chesterfield, MO 63017-2737
Phone (314) 807-1596
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150101647 | IL | MD | Clinical Social Worker |
| 000611 | MO | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1336880848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 WESTERNMILL DR",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630172737",
"telephone_number": "314-807-1596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 WESTERNMILL DR",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630172737",
"telephone_number": "314-807-1596"
}
],
"practiceLocations": [
{
"address_1": "538 Westernmill Dr",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "MO",
"postal_code": "630172737",
"country_code": "US",
"telephone_number": "314-807-1596",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "538 Westernmill Dr",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "MO",
"postal_code": "630172737",
"country_code": "US",
"telephone_number": "314-807-1596",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWMARK",
"first_name": "CAROL",
"middle_name": "ELISE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-06",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "000611",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "128131",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "150101647",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.