Individual provider Active NPI

Lizabeth L. Werner, LCSW

  • Clinical Social Worker
  • Washington, MO
National Provider Identifier
1720196835
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2000172758 Issued in MO
Practice address
200 W 12TH St
Washington, MO 63090-4442
Phone
(636) 390-4422
Fax
(636) 390-4449
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 2000172758 MO Primary

Addresses

Primary practice location

200 W 12TH St
Washington, MO 63090-4442

Mailing address

PO Box 161
Villa Ridge, MO 63089-0161
Phone (636) 390-4422

Other names 1

  • Bdtty Werner Other name

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
I20070430000134 MO Practitioner - Clinical Social Worker 3476658485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1190 Jefferson St
Suite 2
Washington, MO 63090-4443
Phone (636) 399-1875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2000172758MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Concepts Clinical CurrentSince Apr 30, 2007 Accepting new patients
St Louis Counseling Inc PastSince Oct 27, 2009 Accepting new patients
Catholic Family Services Inc. Past Accepting new patients

Locations

1190 Jefferson St
Ste 2
Washington, MO 63090
Phone (636) 399-1875

200 W 12th St
Washington, MO 63090
Phone (636) 390-4422

1190 Jefferson St
Ste 102
Washington, MO 63090
Phone (636) 390-4422

Organizations & group practices 3

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720196835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161",
            "city": "VILLA RIDGE",
            "state": "MO",
            "postal_code": "630890161",
            "telephone_number": "636-390-4422",
            "fax_number": "636-390-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 12TH ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904442",
            "telephone_number": "636-390-4422",
            "fax_number": "636-390-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "LIZABETH",
        "middle_name": "L.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2000172758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BDTTY",
            "last_name": "WERNER",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, MO

Sources for this page

Verify at the official NPI Registry.