Individual provider Active NPI

Jennifer Lynn Winters, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1699504845
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2016015497 Issued in MO
Practice address
970 Executive Parkway Dr
Saint Louis, MO 63141-6302
Phone
(314) 628-6500
Fax
(314) 514-9916
NPI assigned
Jul 27, 2024
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2016015497 MO Primary

Addresses

Primary practice location

970 Executive Parkway Dr
Saint Louis, MO 63141-6302

Mailing address

970 Executive Parkway Dr
Saint Louis, MO 63141-6302
Phone (314) 628-6500

Other practice location 1

1517 Oakglen Dr
Fenton, MO 63026-7020
Phone (314) 712-0784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016015497MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1699504845",
    "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": "1517 Oakglen Dr",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MO",
            "postal_code": "630267020",
            "country_code": "US",
            "telephone_number": "314-712-0784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2016015497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.