Individual provider Active NPI

Mary Anne E. Iorio, MSW, LCSW

  • Clinical Social Worker
  • Manchester, MO
National Provider Identifier
1346211786
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004533 Issued in MO
Practice address
498 Woods Mill Rd
Manchester, MO 63011-4144
Phone
(636) 391-9966
Fax
(636) 394-4678
NPI assigned
Feb 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 004533 MO Primary

Addresses

Primary practice location

498 Woods Mill Rd
Manchester, MO 63011-4144

Mailing address

498 Woods Mill Rd
Manchester, MO 63011-4144
Phone (636) 391-9966

Other identifiers 2

IdentifierTypeStateIssuer
153873OtherMOBLUE CROSS
400512OtherMOHEALTHLINK

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
I20100924000148 MO Practitioner - Clinical Social Worker 0749306090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
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

State licenses

LicenseStateTypeSpecialty
004533MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Louis Counseling Inc CurrentSince Dec 1, 1995 Accepting new patients
Catholic Family Services Inc. CurrentSince Dec 1, 1995 Accepting new patients

Locations

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

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346211786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 WOODS MILL RD",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630114144",
            "telephone_number": "636-391-9966",
            "fax_number": "636-394-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 WOODS MILL RD",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630114144",
            "telephone_number": "636-391-9966",
            "fax_number": "636-394-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IORIO",
        "first_name": "MARY ANNE",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "004533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "153873",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "400512",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, MO

Sources for this page

Verify at the official NPI Registry.