Individual provider Active NPI

Rebecca Corinne Turay, MSW, LCSW

  • Clinical Social Worker
  • Lake St Louis, MO
National Provider Identifier
1619059151
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW004640 Issued in MO
Practice address
1000 Lake Saint Louis Blvd
Ste 204
Lake St Louis, MO 63367-1340
Phone
(636) 561-5673
Fax
(636) 639-6755
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW004640 MO Primary

Addresses

Primary practice location

1000 Lake Saint Louis Blvd
Ste 204
Lake St Louis, MO 63367-1340

Mailing address

1811 Heather Glen CT
Lake St Louis, MO 63367-4245
Phone (636) 332-4487

Other identifiers 7

IdentifierTypeStateIssuer
2195023OtherMOCIGNA PIN FOR 'GM' EMPLOY
0007582461OtherMOAETNA PIN NUMBER
SW004640OtherMOLICENSE FOR LCSW
188028OtherMOBC/BS PIN NUMBER
221197OtherMOCOM PSYCH PIN NUMBER
6259832OtherMOUNITED HEALTH CARE PIN
277588OtherMOVALUE OPTIONS PIN

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW004640MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619059151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 HEATHER GLEN CT",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633674245",
            "telephone_number": "636-332-4487",
            "fax_number": "636-639-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LAKE SAINT LOUIS BLVD",
            "address_2": "STE 204",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671340",
            "telephone_number": "636-561-5673",
            "fax_number": "636-639-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURAY",
        "first_name": "REBECCA",
        "middle_name": "CORINNE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW004640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PIN FOR 'GM' EMPLOY",
            "identifier": "2195023",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN NUMBER",
            "identifier": "0007582461",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE FOR LCSW",
            "identifier": "SW004640",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PIN NUMBER",
            "identifier": "188028",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COM PSYCH PIN NUMBER",
            "identifier": "221197",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE PIN",
            "identifier": "6259832",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PIN",
            "identifier": "277588",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.