Organization Active NPI

Stefani Poelker, MSW, LCSW, LLC

  • Community/Behavioral Health Agency
  • Saint Louis, MO
National Provider Identifier
1629218862
Registry record updated Feb 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2004000868 Issued in MO
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

Updated by the provider on Feb 28, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.