Active NPI
Lifework, LLC
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1679889174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2002001381
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.