Individual provider Active NPI

Yvette Kristine Pelikan, LCSW

  • Social Worker
  • Saint Louis, MO
National Provider Identifier
1457807315
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2017026573 Issued in MO
Practice address
9804 Manchester Rd Ste B
Saint Louis, MO 63119-1210
Phone
(314) 706-1562
Fax
(636) 333-4510
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2017026573 MO Primary

Addresses

Primary practice location

9804 Manchester Rd Ste B
Saint Louis, MO 63119-1210

Mailing address

396 N Berry Rd
Saint Louis, MO 63122-4735
Phone (314) 706-1562

Other names 1

  • Yvette Kristine Rendon Former name

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

LicenseStateTypeSpecialty
2017026573MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Counseling 4 Kids LLC Mental Health CurrentSince Nov 13, 2022 Accepting new patients

Locations

2025 S Brentwood Blvd
Ste 201
Saint Louis, MO 63144
Phone (314) 374-1620

9804 Manchester Rd
Ste B
Saint Louis, MO 63119
Phone (314) 489-9287

Organizations & group practices 1

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1457807315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 N BERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631224735",
            "telephone_number": "314-706-1562",
            "fax_number": "636-333-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9804 MANCHESTER RD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191210",
            "telephone_number": "314-706-1562",
            "fax_number": "636-333-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELIKAN",
        "first_name": "YVETTE",
        "middle_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2017026573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVETTE",
            "last_name": "RENDON",
            "middle_name": "KRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 9, 2026; 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.