Organization Active NPI

Garrett LCSW & Consulting, L.L.C.

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1700176310
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2011008912 Issued in MO
Legal business name
GARRETT LCSW & CONSULTING, L.L.C.
Practice address
4625 Lindell Blvd FL 2
Saint Louis, MO 63108-3739
Phone
(314) 866-8116
Fax
(314) 639-9996
NPI assigned
Apr 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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

Authorized official

Name
Dr. Ernest Edward Garrett III, LCSW, LICSWNPI 1114481397
Title
Owner/Chief Executive Officer
Phone
(314) 866-8116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 2011008912 MO Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 8370-123 WI
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LC50080815 DC

Addresses

Primary practice location

4625 Lindell Blvd FL 2
Saint Louis, MO 63108-3739

Mailing address

4625 Lindell Blvd FL 2
Saint Louis, MO 63108-3739
Phone (314) 866-8116

Other identifiers 1

IdentifierTypeStateIssuer
496591702MedicaidMO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715385600000",
    "number": "1700176310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 LINDELL BLVD FL 2",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083739",
            "telephone_number": "314-866-8116",
            "fax_number": "314-639-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 LINDELL BLVD FL 2",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083739",
            "telephone_number": "314-866-8116",
            "fax_number": "314-639-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT LCSW & CONSULTING, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "314-866-8116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LCSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2011008912",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8370-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080815",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "496591702",
            "state": "MO"
        }
    ],
    "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 May 11, 2024; 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.