Nicole Wood, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2007034751 Issued in MO

Practice address

10820 Sunset Office Dr
Suite 108
Saint Louis, MO 63127-1016

Phone

(314) 956-9869

NPI assigned

Jan 31, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1497933543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N 38TH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622266024",
            "telephone_number": "618-443-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 SUNSET OFFICE DR",
            "address_2": "SUITE 108",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271016",
            "telephone_number": "314-956-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "NICOLE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2007034751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494057805",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen E Wood, CNS
• Megan Danielle Wood, M.D.
• Melanie Wood, OTR
• Melinda Lee Wood, MSW
• Michael J Wood, MSPT
• Patricia Ann Wood, SLP
• Sara Christine Wood, MD
• Stephanie Ann Wood, D.M.D.
• Stephanie Marie Wood, NP
• David C Woodard, LMSW

• 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 May 16, 2008; 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.