Individual provider Active NPI

Rebecca Kathleen Pike, MSW, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1629553110
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2004036294 Issued in MO
Practice address
West County Psychological Associates
12125 Woodcrest Executive Drive #110
St. Louis, MO 63141
Phone
(314) 275-8599
NPI assigned
Oct 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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 2004036294 MO Primary

Addresses

Primary practice location

West County Psychological Associates
12125 Woodcrest Executive Drive #110
St. Louis, MO 63141

Mailing address

1131 Oakley LN
Lake Saint Louis, MO 63367-1957
Phone (314) 406-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2004036294MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Program P C CurrentSince Feb 9, 2022 Accepting new patients
Madmar, LLC PastSince Jun 9, 2024 Accepting new patients

Locations

26 E Superior St
Ste 315
Duluth, MN 55802
Phone (218) 269-6661

2265 Como Ave
Saint Paul, MN 55108

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1629553110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 OAKLEY LN",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633671957",
            "telephone_number": "314-406-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEST COUNTY PSYCHOLOGICAL ASSOCIATES",
            "address_2": "12125 WOODCREST EXECUTIVE DRIVE #110",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-275-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "REBECCA",
        "middle_name": "KATHLEEN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004036294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.