Individual provider Active NPI

Laurie J Evans-Schoenecker, LCSW

  • Clinical Social Worker
  • Saint Peters, MO
National Provider Identifier
1497178263
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2014008646 Issued in MO
Practice address
250 Birdie Hills Rd
Saint Peters, MO 63376-1929
Phone
(314) 308-6411
Fax
(636) 978-9517
NPI assigned
Jan 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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 2014008646 MO Primary

Addresses

Primary practice location

250 Birdie Hills Rd
Saint Peters, MO 63376-1929

Mailing address

10 Longview Estates Dr
O Fallon, MO 63368-6931
Phone (314) 308-6411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240710004255 MO Practitioner - Clinical Social Worker 4183169451 Reassigns benefits to 1 organization
I20250721003179 IL Practitioner - Clinical Social Worker 4183169451 Reassigns benefits to 1 organization
I20250725002321 WA Practitioner - Clinical Social Worker 4183169451 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C CurrentSince May 3, 2024 Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

801 Adlai Stevenson Dr
Springfield, IL 62703
Phone 4153603833 ext. 03833

221 Bolivar St
Jefferson Cty, MO 65101
Phone 56129936671572

300 Deschutes Way SW
Ste 208
Tumwater, WA 98501
Phone (617) 249-6854

Interoperability endpoints

  • Direct secure messaging: laurie.evans-schoenecker.1@30520.direct.athenahealth.com

Organizations & group practices 1

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": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1497178263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LONGVIEW ESTATES DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633686931",
            "telephone_number": "314-308-6411",
            "fax_number": "636-978-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BIRDIE HILLS RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761929",
            "telephone_number": "314-308-6411",
            "fax_number": "636-978-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS-SCHOENECKER",
        "first_name": "LAURIE",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2014008646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.