Individual provider Active NPI

Chatonia Williams

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1710583653
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2021047580 Issued in MO
Practice address
8045 Big Bend Blvd Ste 101&109
Saint Louis, MO 63119-2709
Phone
(314) 800-0311
Fax
(314) 228-0367
NPI assigned
Dec 7, 2020
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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 2021047580 MO Primary

Addresses

Primary practice location

8045 Big Bend Blvd Ste 101&109
Saint Louis, MO 63119-2709

Mailing address

8045 Big Bend Blvd Ste 101&109
Saint Louis, MO 63119-2709
Phone (314) 800-0311

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
2021047580MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Life Counseling & Consulting CurrentSince Nov 19, 2023 Accepting new patients

Locations

8045 Big Bend Blvd
Ste 101109
Saint Louis, MO 63119
Phone (314) 800-0311

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1710583653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 BIG BEND BLVD STE 101&109",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192709",
            "telephone_number": "314-800-0311",
            "fax_number": "314-228-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 BIG BEND BLVD STE 101&109",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192709",
            "telephone_number": "314-800-0311",
            "fax_number": "314-228-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHATONIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2023-11-15",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021047580",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 15, 2023; 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.