Individual provider Active NPI

Kaitlyn Davis, MSW, LMSW

  • Social Worker
  • Lake Saint Louis, MO
National Provider Identifier
1508691882
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2024024824 Issued in MO
Practice address
1310 HRC Plaza Dr
Lake Saint Louis, MO 63367-1869
Phone
(636) 339-4475
NPI assigned
Sep 5, 2024
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2024024824 MO Primary

Addresses

Primary practice location

1310 HRC Plaza Dr
Lake Saint Louis, MO 63367-1869

Mailing address

3903 Nottingham Estates Dr
Saint Louis, MO 63129-1544
Phone (636) 375-6752

Other names 1

  • Kaitlyn Eppers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2024024824MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A W Stevenson LLC CurrentSince Oct 2, 2022 Accepting new patients

Locations

1310 Hrc Plaza Dr
Lake St Louis, MO 63367
Phone (636) 277-9890

400 N 5th St
Ste 201
Saint Charles, MO 63301
Phone (636) 238-2615

237 Creekside Office Dr
Wentzville, MO 63385
Phone (636) 202-1412

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1508691882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 NOTTINGHAM ESTATES DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291544",
            "telephone_number": "636-375-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 HRC PLAZA DR",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633671869",
            "telephone_number": "636-339-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KAITLYN",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2024024824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "EPPERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.