Active NPI
Catherine Ann Hales, LCSW
- Clinical Social Worker
- Chesterfield, MO
National Provider Identifier
1700804283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW000967
- Practice address
- 691 Trade Center Blvd Ste B
Chesterfield, MO 63005-1279 - Phone
- (573) 406-7333
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.022665 | IL | |
| Clinical Social Worker | 1041C0700X | SW000967 | MO | Primary |
Addresses
Primary practice location
691 Trade Center Blvd Ste B
Chesterfield, MO 63005-1279
Mailing address
2013 Wyndgate Meadows Dr
O Fallon, MO 63367-4341
Phone (573) 406-7333
Other practice location 1
17295 Chesterfield Airport Rd Ste 200
Chesterfield, MO 63005-1423
Phone (573) 406-7333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 493453914 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190706000122 | MO | Practitioner - Clinical Social Worker | 3375878838 | Practice locations: Chesterfield, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
691 Trade Ctr Blvd
Suite B
Chesterfield, MO 63005-1279
Phone (573) 406-7333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.022665 | IL | MD | Clinical Social Worker |
| SW000967 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benton Street Counseling LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1700804283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2013 WYNDGATE MEADOWS DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633674341",
"telephone_number": "573-406-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "691 TRADE CENTER BLVD STE B",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051279",
"telephone_number": "573-406-7333"
}
],
"practiceLocations": [
{
"address_1": "17295 Chesterfield Airport Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "MO",
"postal_code": "630051423",
"country_code": "US",
"telephone_number": "573-406-7333",
"fax_number": "844-636-1004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALES",
"first_name": "CATHERINE",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2022-11-17",
"certification_date": "2022-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.022665",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "SW000967",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "493453914",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.