Organization Active NPI

Lifework, LLC

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1679889174
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2002001381 Issued in MO
Legal business name
LIFEWORK, LLC
Practice address
1000 Executive Parkway Dr
Suite 120
Saint Louis, MO 63141-6325
Phone
(314) 910-8608
Fax
(314) 392-9601
NPI assigned
Aug 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Jeff Brenneman, LCSW
Title
Owner
Phone
(314) 910-8608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2002001381 MO Primary

Addresses

Primary practice location

1000 Executive Parkway Dr
Suite 120
Saint Louis, MO 63141-6325

Mailing address

2055 Craigshire Rd Ste 120
Saint Louis, MO 63146-4012
Phone (314) 910-8608

National Provider Directory

National Provider Directory

Locations

2055 Craigshire Dr
Ste 120
Saint Louis, MO 63146
Phone (314) 681-1223

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1679889174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 CRAIGSHIRE RD STE 120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464012",
            "telephone_number": "314-910-8608",
            "fax_number": "314-392-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EXECUTIVE PARKWAY DR",
            "address_2": "SUITE 120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416325",
            "telephone_number": "314-910-8608",
            "fax_number": "314-392-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "BRENNEMAN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-910-8608",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2002001381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.