TJ Kingsbury, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2020034454 Issued in MO

Practice address

403 Morris Ave
Saint Louis, MO 63125-2738

Phone

(314) 580-0947

NPI assigned

Oct 20, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Treston J Kingsbury Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1699642256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 MORRIS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631252738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 MORRIS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631252738",
            "telephone_number": "314-580-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSBURY",
        "first_name": "TJ",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2020034454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRESTON",
            "last_name": "KINGSBURY",
            "middle_name": "J",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kingdom Health Services LLC
• Kingdom House
• Kingdom Resources Ministries, Inc
• Brenda L Kingen, D.C.
• Mason Alexander Kinghorn, LCSW
• Kingston Dental Center
• Michelle Ann Kingston
• Nancy J Kinker, CRNA
• Tierra Maria Kinnard
• Bradley Michael Kinnear, LPC

• 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 Oct 23, 2025; 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.