Majestic Bridge

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MAJESTIC BRIDGE

Practice address

745 Craig Rd Ste 206
Creve Coeur, MO 63141-7122

Phone

(314) 782-7216

NPI assigned

Jan 23, 2025

Last updated

Feb 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danita FlakesNPI 1083159594

Title

LCSW

Phone

(314) 782-7216

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Danita Flakes, MSW, LCSW, ICADC

  • Clinical Social Worker
  • Florissant, MO
  • NPI 1083159594
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738454400000",
    "number": "1477365716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 CRAIG RD STE 206",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417122",
            "telephone_number": "314-782-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 CRAIG RD STE 206",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417122",
            "telephone_number": "314-782-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC BRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A",
        "authorized_official_last_name": "FLAKES",
        "authorized_official_first_name": "DANITA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "314-782-7216"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Madison-Slowley
• Christopher John Maffit, D.C.
• Belma Mahmutovic, FNP-BC
• Michael E. Mahon, PSY.D., LPC
• Eric H Mai, MD
• Paul Elias Malak, MD
• Ali Malik, M.D.
• Abigail Malley, LCSW
• Michelle Elayne Malone, PTA
• Jacklyn Michelle Malt, PT

• Clinical Social Worker in Creve Coeur, MO
• Providers in Creve Coeur, 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 Feb 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.