Individual provider Active NPI

Jacob David Perkins, LCSW, MSW

  • Clinical Social Worker
  • Webster Groves, MO
National Provider Identifier
1376995167
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2021034284 Issued in MO
Practice address
330 N Gore Ave
Webster Groves, MO 63119-1600
Phone
(844) 424-3577
NPI assigned
Jul 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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 2021034284 MO Primary

Addresses

Primary practice location

330 N Gore Ave
Webster Groves, MO 63119-1600

Mailing address

12455 Marine Ave
Maryland Heights, MO 63043-3633
Phone (314) 379-8504

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
I20211012001627 MO Practitioner - Clinical Social Worker 0749688398 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Open Arms Wellness LLCGroup PAC ID 5799170486, 12 clinicians

Practice addresses (Care Compare)

8949 Manchester Rd
Brentwood, MO 63144-2621
Phone (314) 329-4326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021034284MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Open Arms Mental Health Therapy LLC CurrentSince Jan 14, 2024 Accepting new patients
Mercy Clinic Adult Psychiatry, LLC CurrentSince Aug 22, 2022 Accepting new patients
Compass Health, Inc Clinical CurrentSince Oct 11, 2021 Accepting new patients
Compass Health, Inc CurrentSince Oct 11, 2021 Accepting new patients
Open Arms Wellness LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

21 Municipal Dr
Arnold, MO 63010
Phone (636) 296-6206

1800 Community
#B
Clinton, MO 64735

227 Main St
Festus, MO 63028
Phone (636) 321-0101

8949 Manchester Rd
Saint Louis, MO 63144
Phone (314) 329-4326

12125 Conway Rd
Ste 160
Saint Louis, MO 63141
Phone (314) 251-2870

1176 Town and Country Commons Dr
Town and Country, MO 63017
Phone (636) 207-2200

Organizations & group practices 5

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1376995167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12455 MARINE AVE",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433633",
            "telephone_number": "314-379-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N GORE AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631191600",
            "telephone_number": "844-424-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "JACOB",
        "middle_name": "DAVID",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021034284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster Groves, MO

Sources for this page

Verify at the official NPI Registry.