Anne Marilyn Fleming, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2021023237 Issued in MO

Practice address

970 Executive Parkway Dr
Saint Louis, MO 63141-6302

Phone

(314) 628-6500

Fax

(314) 514-9916

NPI assigned

Oct 19, 2009

Last updated

Nov 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clinical Research Associates PCGroup PAC ID 5597662080, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinical Research Associates, PC

  dba Long Term Psychiatric Management

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1063632826
  Medicare reassignment Care Compare group NPD
• Mercy East Support Services, LLC

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1225382013
  Medicare reassignment NPD

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1689900177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 EXECUTIVE PARKWAY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416302",
            "telephone_number": "314-628-6500",
            "fax_number": "314-514-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 EXECUTIVE PARKWAY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416302",
            "telephone_number": "314-628-6500",
            "fax_number": "314-514-9916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1772 Stieger Lake Ln",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "MN",
            "postal_code": "553867723",
            "country_code": "US",
            "telephone_number": "952-443-4600",
            "fax_number": "952-443-4604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "ANNE",
        "middle_name": "MARILYN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19765",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021023237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaquelyn F Fleckenstein, MD
• Julia Diane Fleecs, MD
• Nicholas Patrick Fleege, MD
• Taylor Leigh Fleig
• Stephen Andrew Fleischut, DDS
• Candice M Fleming
• Denise Fleming
• Gail T Fleming
• Hunter Jordan Fleming, MD
• Karin A. Fleming, CCC-SLP

• 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 Nov 19, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.