Ultimate Places

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000325 Issued in MO

Legal business name

ULTIMATE PLACES

Practice address

8147 Delmar Blvd
Suite 217
University City, MO 63130-3735

Phone

(314) 725-0551

NPI assigned

Mar 22, 2010

Organization subpart

No

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

Authorized official

Name

Victoria Anika Hannah, LCSW

Title

Owner

Phone

(314) 725-0551

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1699099556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8147 DELMAR BLVD",
            "address_2": "SUITE 217",
            "city": "UNIVERSITY CITY",
            "state": "MO",
            "postal_code": "631303735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8147 DELMAR BLVD",
            "address_2": "SUITE 217",
            "city": "UNIVERSITY CITY",
            "state": "MO",
            "postal_code": "631303735",
            "telephone_number": "314-725-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE PLACES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "HANNAH",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "ANIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-725-0551",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "000325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in University City, MO
• Providers in University City, 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 Mar 22, 2010; 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.