Individual provider Active NPI

Kathryn Musano, LCSW

  • Clinical Social Worker
  • Webster Groves, MO
National Provider Identifier
1659845733
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2018023187 Issued in MO
Practice address
110 N Elm Ave
Webster Groves, MO 63119-2418
Phone
(314) 918-3334
NPI assigned
Jan 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 2018023187 MO Primary

Addresses

Primary practice location

110 N Elm Ave
Webster Groves, MO 63119-2418

Mailing address

110 N Elm Ave
Webster Groves, MO 63119-2418
Phone (314) 918-3334

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
I20231020001507 MO Practitioner - Clinical Social Worker 1557717956 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn Schormann LLC Multi-Specialty CurrentSince Oct 18, 2023 Accepting new patients
Greenleaf Theracare Iop, LLC Multi-Specialty CurrentSince Oct 18, 2023 Accepting new patients

Locations

485 Wildwood Pkwy
Ste 3
Ballwin, MO 63011
Phone (314) 252-8220

10199 Woodfield Ln
Saint Louis, MO 63132
Phone (314) 485-5845

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": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1659845733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N ELM AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192418",
            "telephone_number": "314-918-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N ELM AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192418",
            "telephone_number": "314-918-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSANO",
        "first_name": "KATHRYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018023187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster Groves, MO

Sources for this page

Verify at the official NPI Registry.