Active NPI
Alyssa Person, MSW
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1568699809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004378
- Practice address
- 225 S Meramec Ave
1029T
Saint Louis, MO 63105-3511 - Phone
- (314) 974-2149
- NPI assigned
- Jun 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 004378 | MO | Primary |
Addresses
Primary practice location
225 S Meramec Ave
1029T
Saint Louis, MO 63105-3511
Mailing address
5295 Waterman Blvd
Apt. A23
Saint Louis, MO 63108-1162
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004378 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274918400000",
"number": "1568699809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5295 WATERMAN BLVD",
"address_2": "APT. A23",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631081162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 S MERAMEC AVE",
"address_2": "1029T",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631053511",
"telephone_number": "314-974-2149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSON",
"first_name": "ALYSSA",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-13",
"last_updated": "2010-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "004378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Stephen Phillip Persaud, MD
- Perschbacher Dermatology, LLC
- James Michael Perschbacher, M.D.
- Patricia Pladson Perschbacher, M.D.
- Claire Ellen Pershing, PT, DPT, ATC
- Olivia Grace Person, MD
- Personal Care Home Health SVCS., LLC
- Personal Care Home Health SVCS., LLC
- Personal Home Care CDS, LLC
- Personal Potentials, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.