Individual provider Active NPI

Nancy Lubowitz

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1366658379
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW002151 Issued in MO
Practice address
12434 Lusher Rd
Saint Louis, MO 63138-1456
Phone
(314) 355-4180
Fax
(314) 355-4184
NPI assigned
May 15, 2007
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 SW002151 MO Primary

Addresses

Primary practice location

12434 Lusher Rd
Saint Louis, MO 63138-1456

Mailing address

12434 Lusher Rd
Saint Louis, MO 63138-1456
Phone (314) 355-4180

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
I20220622000520 MO Practitioner - Clinical Social Worker 8325427396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

255 Spencer Rd
Suite 101
Saint Peters, MO 63376-2574
Phone (636) 477-6111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002151MOMDProfessional Counselor
SW002151MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince Jun 1, 2022 Accepting new patients
Christian Hospital Northeast- Northwest Past Accepting new patients
Elite Psychiatric Services, LLC Past Accepting new patients

Locations

2458 Old Dorsett Rd
Ste 110
Maryland Heights, MO 63043
Phone (314) 476-0732

255 Spencer Rd
Ste 101
Saint Peters, MO 63376
Phone (636) 477-6111

255 Spencer Rd
Ste 201
Saint Peters, MO 63376
Phone (636) 929-2550

25101 Chagrin Blvd
Ste 100
Beachwood, OH 44122
Phone (216) 245-4468

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366658379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12434 LUSHER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381456",
            "telephone_number": "314-355-4180",
            "fax_number": "314-355-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12434 LUSHER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381456",
            "telephone_number": "314-355-4180",
            "fax_number": "314-355-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBOWITZ",
        "first_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW002151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.