Individual provider Active NPI

Elenor J Gilbert, M.S.W.,L.C.S.W.

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1417965716
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004523 Issued in MO
Practice address
230 S Bemiston Ave
Suite 1213
Saint Louis, MO 63105-1907
Phone
(314) 862-1873
Fax
(314) 862-7353
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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 004523 MO Primary

Addresses

Primary practice location

230 S Bemiston Ave
Suite 1213
Saint Louis, MO 63105-1907

Mailing address

230 S Bemiston Ave
Suite 1213
Saint Louis, MO 63105-1907
Phone (314) 862-1873

Other identifiers 2

IdentifierTypeStateIssuer
758207104MedicaidMO
157918OtherMOBCBS-MO PROVIDER ID NUMBE

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1417965716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S BEMISTON AVE",
            "address_2": "SUITE 1213",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051907",
            "telephone_number": "314-862-1873",
            "fax_number": "314-862-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S BEMISTON AVE",
            "address_2": "SUITE 1213",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051907",
            "telephone_number": "314-862-1873",
            "fax_number": "314-862-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "ELENOR",
        "middle_name": "J",
        "credential": "M.S.W.,L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "004523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758207104",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MO PROVIDER ID NUMBE",
            "identifier": "157918",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.