Individual provider Active NPI

Will Slotky, MSW

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1679641120
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005034 Issued in MO
Practice address
4507 Laclede Ave # B
Saint Louis, MO 63108-2103
Phone
(314) 361-4673
Fax
(314) 361-6649
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 005034 MO Primary
Mental Health Counselor 101YM0800X IL

Addresses

Primary practice location

4507 Laclede Ave # B
Saint Louis, MO 63108-2103

Mailing address

508 Hickory MNR
Arnold, MO 63010-2797
Phone (314) 361-4673

Other identifiers 1

IdentifierTypeStateIssuer
A836148OtherMOVALUE OPTIONS PROVIDER ID

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
I20100614000911 MO Practitioner - Clinical Social Worker 2769512912 Practice locations: Saint Louis, MO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4507 Laclede Ave
Saint Louis, MO 63108-2103
Phone (314) 361-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149010633ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reclaim Resiliency Therapeutic Services LLC PastSince Jun 30, 2024 Accepting new patients

Organizations & group practices 1

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679641120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HICKORY MNR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102797",
            "telephone_number": "314-361-4673",
            "fax_number": "314-361-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 LACLEDE AVE # B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082103",
            "telephone_number": "314-361-4673",
            "fax_number": "314-361-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOTKY",
        "first_name": "WILL",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "005034",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER ID",
            "identifier": "A836148",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.