Active NPI
Michele Dvorak, MSW, LCSW
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1407870835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004840
- Practice address
- 1430 Olive St
Suite 500
Saint Louis, MO 63103-2303 - Phone
- (314) 206-3749
- Fax
- (314) 206-3708
- NPI assigned
- Jul 27, 2006
- 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 | 004840 | MO | Primary |
Addresses
Primary practice location
1430 Olive St
Suite 500
Saint Louis, MO 63103-2303
Mailing address
1430 Olive St
Suite 500
Saint Louis, MO 63103-2303
Phone (314) 206-3749
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004840 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407870835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 OLIVE ST",
"address_2": "SUITE 500",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631032303",
"telephone_number": "314-206-3749",
"fax_number": "314-206-3708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 OLIVE ST",
"address_2": "SUITE 500",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631032303",
"telephone_number": "314-206-3749",
"fax_number": "314-206-3708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DVORAK",
"first_name": "MICHELE",
"name_prefix": "Ms.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "004840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
- Dva Renal Healthcare Inc
- Dva Renal Healthcare Inc
- Dva Washington University Healthcare of Greater St Louis LLC
- Dva Washington University Healthcare of Greater St Louis LLC
- Dva Washington University Healthcare of Greater St. Louis LLC
- Hana Dwaik
- Abdallah Fareed Dweekat, MD
- Maggie Lee Dwiggins, MD
- Molly Dwyer Simonsen, LPC
- Daniel Michael Dwyer, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.