Active NPI
Iam Jophiel, LCSW
- Clinical Social Worker
- St Louis, MO
National Provider Identifier
1457627614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2011035180
- Practice address
- 8045 Big Bend Blvd, Ste 101
St Louis, MO 63119-2714 - Phone
- (314) 800-0311
- Fax
- (314) 228-0367
- NPI assigned
- Mar 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09927227 | CO | |
| Clinical Social Worker | 1041C0700X | C-09854 | NM | |
| Clinical Social Worker | 1041C0700X | 2011035180 | MO | Primary |
Addresses
Primary practice location
8045 Big Bend Blvd, Ste 101
St Louis, MO 63119-2714
Mailing address
PO Box 50053
Albuquerque, NM 87181-0053
Phone (314) 800-0311
Other practice location 1
8045 Big Bend Blvd Ste 109
Saint Louis, MO 63119-2714
Phone (314) 800-0311
Other names 1
- Ms. Nahnahsha Deas
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09927227 | CO | MD | Clinical Social Worker |
| C-09854 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1457627614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50053",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871810053",
"telephone_number": "314-800-0311",
"fax_number": "314-228-0367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8045 BIG BEND BLVD, STE 101",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "631192714",
"telephone_number": "314-800-0311",
"fax_number": "314-228-0367"
}
],
"practiceLocations": [
{
"address_1": "8045 Big Bend Blvd Ste 109",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631192714",
"country_code": "US",
"telephone_number": "314-800-0311",
"fax_number": "314-228-0367",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOPHIEL",
"first_name": "IAM",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-31",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09927227",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-09854",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2011035180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NAHNAHSHA",
"last_name": "DEAS",
"prefix": "MS.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.