Linda Susan Pevnick, MSW – Clinical Social Worker

Key facts

NPI: 1477595171
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 800 (MO)
Practice address: 10420 Old Olive Street Rd
Suite 105
Creve Coeur, MO 63141-5914
Phone: (314) 567-5360
NPI assigned: Jun 10, 2006
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file
Opted out of Medicare: Yes, effective Oct 1, 2021 through Oct 1, 2027

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
800	MO	MD	Clinical Social Worker

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	800	MO	Yes

Addresses

Primary practice location

10420 Old Olive Street Rd
Suite 105
Creve Coeur, MO 63141-5914

Mailing address

10420 Old Olive Street Rd
Suite 105
Creve Coeur, MO 63141-5914
Phone (314) 567-5360

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477595171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 OLD OLIVE STREET RD",
            "address_2": "SUITE 105",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415914",
            "telephone_number": "314-567-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 OLD OLIVE STREET RD",
            "address_2": "SUITE 105",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415914",
            "telephone_number": "314-567-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEVNICK",
        "first_name": "LINDA",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

All providers in Creve Coeur, MO · Clinical Social Worker in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Opt Out Affidavits (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.