Liam Charles Janski-Ogunfidodo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2008036369 Issued in MO

Practice address

3194A S Grand Blvd
Saint Louis, MO 63118-1008

Phone

(314) 495-5990

NPI assigned

May 31, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1590883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590883200000",
    "number": "1669096277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63079",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631633079",
            "telephone_number": "314-495-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3194A S GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631181008",
            "telephone_number": "314-495-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSKI-OGUNFIDODO",
        "first_name": "LIAM",
        "middle_name": "CHARLES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-31",
        "last_updated": "2020-05-31",
        "certification_date": "2020-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2008036369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Bok Seng Janowski, MD
• Abigail Jansen, NP
• David Joseph Jansen, PHARM.D.
• Kirsten Anne Jansen, M.D.
• Trina Marie Jansen, L.P.C.
• Kelley Janssen, NNP-BC
• Alyssa January, DMD
• Michelle Janus
• Megan Christine Janushanis, LPC
• Pailin Janwatanagool, PHARMD.

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.