Active NPI
Stefani Poelker, MSW, LCSW, LLC
- Community/Behavioral Health Agency
- Saint Louis, MO
National Provider Identifier
1629218862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2004000868
- Legal business name
- STEFANI POELKER, MSW, LCSW, LLC
- Practice address
- 777 Craig Rd
Suite 230
Saint Louis, MO 63141-7138 - Phone
- (314) 210-8424
- Fax
- (314) 298-0020
- NPI assigned
- Feb 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Stefani Jean Poelker, MSW, LCSW
- Title
- Owner
- Phone
- (314) 210-8424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 2004000868 | MO | Primary |
Addresses
Primary practice location
777 Craig Rd
Suite 230
Saint Louis, MO 63141-7138
Mailing address
4 Calder CT
Manchester, MO 63021-6406
Phone (314) 210-8424
National Provider Directory
National Provider DirectoryLocations
777 Craig Rd
Ste 230
Saint Louis, MO 63141
Phone (225) 303-1055
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Creve Coeur, MO
- NPI 1346480597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235779200000",
"number": "1629218862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CALDER CT",
"city": "MANCHESTER",
"state": "MO",
"postal_code": "630216406",
"telephone_number": "314-210-8424",
"fax_number": "314-298-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 CRAIG RD",
"address_2": "SUITE 230",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417138",
"telephone_number": "314-210-8424",
"fax_number": "314-298-0020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEFANI POELKER, MSW, LCSW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-28",
"last_updated": "2009-02-28",
"status": "A",
"authorized_official_last_name": "POELKER",
"authorized_official_first_name": "STEFANI",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-210-8424",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MO",
"license": "2004000868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.