Active NPI
Katie Ingebretson, MSW, LCSW
- Clinical Social Worker
- O'Fallon, MO
National Provider Identifier
1366725277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 311 S Main St
O Fallon, MO 63366-2807 - Phone
- (636) 281-1990
- NPI assigned
- Sep 27, 2011
- Last updated
- Apr 7, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
311 S Main St
O Fallon, MO 63366-2807
Mailing address
311 S. Main St.
O Fallon, MO 63366
Phone (636) 281-1990
Other names 1
- Katie Pickett
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Louis Counseling Inc | Current | Accepting new patients | |
| Catholic Family Services Inc. | Current | 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.
-
- Voluntary or Charitable Agency
- Fenton, MO
- NPI 1053397133
-
dba Family Wellness Program
- Mental Health Counselor
- Union, MO
- NPI 1154480176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428364800000",
"number": "1366725277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 S. MAIN ST.",
"city": "O FALLON",
"state": "MO",
"postal_code": "63366",
"telephone_number": "636-281-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 S MAIN ST",
"city": "O FALLON",
"state": "MO",
"postal_code": "633662807",
"telephone_number": "636-281-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGEBRETSON",
"first_name": "KATIE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-27",
"last_updated": "2015-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "PICKETT",
"credential": "MSW, LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in O'Fallon, MO
- Rhonda K Hurt, MA
- Eric J Hurtte, DMD
- Emily Rebecca Hutchinson, DO
- Amy Christine Ilgenfritz, M.A., LPC
- Didem O Ince, DDS MS PHD
- Initial Independence Inc. of Ohio
- Kristin Inkley, LMSW
- Innovations Speech Therapy LLC (Innovations Speech Therapy)
- Innovative Counseling Services, Inc (Cynthia M. Eisenbeis)
- Internal Medicine at Winghaven LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.