Individual provider Active NPI

Rebecca Wittie Growe, MSW, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1720398928
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2012036782 Issued in MO
Practice address
7710 Carondelet Ave Ste 208
Saint Louis, MO 63105-3319
Phone
(314) 252-8101
NPI assigned
Oct 21, 2010
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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 2012036782 MO Primary

Addresses

Primary practice location

7710 Carondelet Ave Ste 208
Saint Louis, MO 63105-3319

Mailing address

7710 Carondelet Ave Ste 208
Saint Louis, MO 63105-3319
Phone (314) 252-8101

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
2012036782MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Growe Counseling LLC Clinical CurrentSince Nov 24, 2024 Accepting new patients

Locations

7710 Carondelet Ave
Ste 208
Saint Louis, MO 63105
Phone (314) 246-9184

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": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1720398928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 CARONDELET AVE STE 208",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053319",
            "telephone_number": "314-252-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 CARONDELET AVE STE 208",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053319",
            "telephone_number": "314-252-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROWE",
        "first_name": "REBECCA",
        "middle_name": "WITTIE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2012036782",
            "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 27, 2024; 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.