NPIMap

Organization Active NPI

Pathways for Aging, Inc.

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1497866404
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 001088 Issued in MO
Legal business name
PATHWAYS FOR AGING, INC.
Practice address
745 Craig Road
Suite 212
Saint Louis, MO 63141-7122
Phone
(314) 395-7560
Fax
(314) 395-7563
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Authorized official

Name
Ms. Jeannie Kay Krause-Taylor, MSW, LCSW
Title
President
Phone
(314) 395-7560

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X SW 001088 MO Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

745 Craig Road
Suite 212
Saint Louis, MO 63141-7122

Mailing address

745 Craig Road
Suite 212
Saint Louis, MO 63141-7122
Phone (314) 395-7560

National Provider Directory

National Provider Directory

Locations

300 S New Florissant Rd
Florissant, MO 63031
Phone (314) 838-2211

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

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1497866404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 CRAIG ROAD",
            "address_2": "SUITE 212",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417122",
            "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 ROAD",
            "address_2": "SUITE 212",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417122",
            "telephone_number": "314-395-7560",
            "fax_number": "314-395-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS FOR AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "KRAUSE-TAYLOR",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-395-7560",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW 001088",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.