Active NPI
Garrett LCSW & Consulting, L.L.C.
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1700176310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2011008912
- 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
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, LICSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2011008912 | MO | Primary |
| Clinical Social Worker | 1041C0700X | 8370-123 | WI | |
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 496591702 | Medicaid | MO |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Saint Louis, MO
- NPI 1114481397
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.