Sojourn Therapy Outreach LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOJOURN THERAPY OUTREACH LLC

Practice address

9666 Olive Blvd Ste 330
Saint Louis, MO 63132-3035

Phone

(314) 399-4823

NPI assigned

Sep 3, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Shelly L Byndom, LCSW

Title

Therapist/Owne

Phone

(314) 399-4823

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1679121529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9666 OLIVE BLVD STE 330",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631323035",
            "telephone_number": "314-399-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9666 OLIVE BLVD STE 330",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323035",
            "telephone_number": "314-399-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOJOURN THERAPY OUTREACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "BYNDOM",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPIST/OWNE",
        "authorized_official_telephone_number": "314-399-4823",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Soffer
• Omolade O Sogade, MD
• Daniel G Sohn, M.D.
• Richard S Sohn, MD
• Zachary Nicholas Soiya, D.D.S.
• Sojourner Counseling
• Marcia L Sokol-Anderson, MD
• Timothy George Sokol
• Kimberly Marie Sokolowski, PH.D.
• Jean Sokora, MSW, LCSW

• 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 Sep 23, 2019; 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.