Individual provider Active NPI

Catherine Ann Hales, LCSW

  • Clinical Social Worker
  • Chesterfield, MO
National Provider Identifier
1700804283
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW000967 Issued in MO
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

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
493453914MedicaidMO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
149.022665ILMDClinical Social Worker
SW000967MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.