Individual provider Active NPI

Shannon C Cooper-Sadlo, PHD/LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1659485076
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2005016870 Issued in MO
Practice address
7902 Big Bend Blvd
Saint Louis, MO 63119-2704
Phone
(314) 260-1934
NPI assigned
Aug 19, 2006
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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 2005016870 MO Primary

Addresses

Primary practice location

7902 Big Bend Blvd
Saint Louis, MO 63119-2704

Mailing address

7501 Murdoch Ave # 1003
Saint Louis, MO 63119-2810
Phone (314) 260-1934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260527002874 MO Practitioner - Clinical Social Worker 3577573989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Saint Louis University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7501 Murdoch Ave
Suite 1003
Saint Louis, MO 63119-2810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Dochas Center, LLC Current Accepting new patients
Mercy Hospital South Past Accepting new patients

Locations

7501 Murdoch Ave
Saint Louis, MO 63119
Phone (314) 208-5842

7902 Big Bend Blvd
Webster Groves, MO 63119
Phone (314) 260-1934

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1659485076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 MURDOCH AVE # 1003",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192810",
            "telephone_number": "314-260-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192704",
            "telephone_number": "314-260-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER-SADLO",
        "first_name": "SHANNON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD/LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2005016870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.