Individual provider Active NPI

Sherri Goodman-Ritchie, MSW,LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1487622254
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW001697 Issued in MO
Practice address
1040 N Mason Rd Ste 201
Saint Louis, MO 63141-6366
Phone
(314) 985-8034
Fax
(314) 985-8034
NPI assigned
Mar 9, 2006
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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 SW001697 MO Primary

Addresses

Primary practice location

1040 N Mason Rd Ste 201
Saint Louis, MO 63141-6366

Mailing address

1040 N Mason Rd Ste 201
Saint Louis, MO 63141-6366
Phone (314) 985-8035

Other identifiers 1

IdentifierTypeStateIssuer
496955824MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070724000007 MO Practitioner - Clinical Social Worker 8527169390 Practice locations: Ballwin, MO

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1487622254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 N MASON RD STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416366",
            "telephone_number": "314-985-8035",
            "fax_number": "314-985-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N MASON RD STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416366",
            "telephone_number": "314-985-8034",
            "fax_number": "314-985-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN-RITCHIE",
        "first_name": "SHERRI",
        "name_prefix": "Ms.",
        "credential": "MSW,LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW001697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "496955824",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.