Jennifer Sebacher LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

002515 Issued in MO

Legal business name

JENNIFER SEBACHER LLC

Practice address

21 Bartley St
Saint Peters, MO 63376-2720

Phone

(636) 387-3851

Fax

(636) 441-3923

NPI assigned

May 21, 2012

Last updated

May 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer L Sebacher, LCSWNPI 1396020244

Title

Clinical Therapist

Phone

(636) 387-3851

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer L Sebacher, LCSW

  • Clinical Social Worker
  • O'Fallon, MO
  • NPI 1396020244
  NPD (past) Authorized official

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1558621946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E ELM ST STE 11",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662649",
            "telephone_number": "636-387-3851",
            "fax_number": "636-441-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BARTLEY ST",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762720",
            "telephone_number": "636-387-3851",
            "fax_number": "636-441-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER SEBACHER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "SEBACHER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "636-387-3851",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "002515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396020244",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary James, DPT
• Alysa Janke, PT, DPT
• Kristine Marie Jansen, P.T.
• Jemani Medical, LLC
• Jennifer Dailey Chiropractic PC (Dailey Chiropractic Care)
• Jennifer Shashek, M.D., LLC
• Jenny L Wiemann DCPC (Crosby Chiropractic Centre)
• Sara Maria Jensen, MD
• Nicole Renee Jett
• Keta Jhala, PHARMD

• Clinical Social Worker in Saint Peters, MO
• Providers in Saint Peters, 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 21, 2012; 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.