Jerry L. Marks, DSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

001120 Issued in MO

Practice address

207 Creekside Office Dr
Wentzville, MO 63385-3290

Phone

(636) 887-0914

Fax

(636) 206-2522

NPI assigned

Dec 21, 2005

Last updated

Jan 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Social Worker

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sinapsis Psychiatry LLC

  • Psychiatry Physician
  • Wentzville, MO
  • NPI 1275233231
  NPD
• Mid-County Physicians, Inc.

  • Clinical Social Worker
  • Kirkwood, MO
  • NPI 1184764904
  NPD (past)
• St Louis Counseling Inc

  • Voluntary or Charitable Agency
  • Fenton, MO
  • NPI 1053397133
  NPD (past)

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1396721353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CREEKSIDE OFFICE DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853290",
            "telephone_number": "636-887-0914",
            "fax_number": "636-206-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 CREEKSIDE OFFICE DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853290",
            "telephone_number": "636-887-0914",
            "fax_number": "636-206-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "JERRY",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "001120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "1172616",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "143828",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brad C Mann, LMSW
• Jamie Manning, LPC
• Stephanie Lynn Maranan
• Glenda Marie Mareschal, LCSW
• Tara Ann Margadonna, PHARMD
• Kelsi Marler, FNP
• Cassandra Marsh, LPC
• Ursula Wiese Marsh, PH.D.
• Allison Marshall, DC
• Janis O Martin-Khair, PLPC

• Clinical Social Worker in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.