Individual provider Active NPI

Courtney Everson, M.S.W. LCSW RPT

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1710128822
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2008037049 Issued in MO
Practice address
2500 S Brentwood Blvd Ste 211
Saint Louis, MO 63144-2309
Phone
(314) 266-8545
NPI assigned
Mar 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2008037049 MO Primary

Addresses

Primary practice location

2500 S Brentwood Blvd Ste 211
Saint Louis, MO 63144-2309

Mailing address

2500 S Brentwood Blvd Ste 211
Saint Louis, MO 63144-2309
Phone (314) 266-8545

Other identifiers 1

IdentifierTypeStateIssuer
11977937OtherMOCAQH

Other names 1

  • Courtney Schaefer Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2008037049MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1710128822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S BRENTWOOD BLVD STE 211",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631442309",
            "telephone_number": "314-266-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S BRENTWOOD BLVD STE 211",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631442309",
            "telephone_number": "314-266-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERSON",
        "first_name": "COURTNEY",
        "credential": "M.S.W. LCSW RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-19",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2008037049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11977937",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "SCHAEFER",
            "credential": "M.S.W., LCSW RPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jan 25, 2017; 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.