Elizabeth Susan Ray Kowalik, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2018036222 Issued in MO

Practice address

12977 N 40 Dr Ste 309
Saint Louis, MO 63141-8654

Phone

(314) 246-0528

NPI assigned

Dec 7, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Susan Ray Kowalik Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1487999082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12977 N 40 DR STE 309",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418654",
            "telephone_number": "314-246-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12977 N 40 DR STE 309",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418654",
            "telephone_number": "314-246-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALIK",
        "first_name": "ELIZABETH",
        "middle_name": "SUSAN RAY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149024218",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018036222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "KOWALIK",
            "middle_name": "SUSAN RAY",
            "credential": "ELIZABETH SUSAN RAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Koval, PHARMD
• Larisa V Kovaleva, NP
• Svetlana Kovaleva, DO
• Angela Christine Kovarik, MED, EDS, NCSP
• Kate Kovarik
• Margaret Irene Kowalski, MD
• Mark Kowalski, D.O.
• Rachel H Kowalsky, MD
• Anne Kowert, OTR/L
• Panduranga Rao Koya, M.D.

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, 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 Jan 22, 2025; 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.