Individual provider Active NPI

Ann Kantor, MSW, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1497018592
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
001181 Issued in MO
Practice address
745 Craig Rd
Suite 212
Saint Louis, MO 63141-7160
Phone
(314) 395-7560
Fax
(314) 395-7563
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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 001181 MO Primary

Addresses

Primary practice location

745 Craig Rd
Suite 212
Saint Louis, MO 63141-7160

Mailing address

745 Craig Rd
Suite 212
Saint Louis, MO 63141-7160
Phone (314) 395-7560

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
I20120920000225 MO Practitioner - Clinical Social Worker 6608024484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Hacienda Dr
Saint Louis, MO 63124-1734
Phone (314) 276-5354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001181MOMDDevelopmental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alk Counseling, LLC Clinical CurrentSince Apr 1, 2017 Accepting new patients
Pathways for Aging, Inc. Clinical PastSince Jun 7, 2014 Accepting new patients

Locations

7750 Maryland Ave
Unit 50414
Saint Louis, MO 63105

Organizations & group practices 2

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1497018592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 CRAIG RD",
            "address_2": "SUITE 212",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417160",
            "telephone_number": "314-395-7560",
            "fax_number": "314-395-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 CRAIG RD",
            "address_2": "SUITE 212",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417160",
            "telephone_number": "314-395-7560",
            "fax_number": "314-395-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTOR",
        "first_name": "ANN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "001181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.