Individual provider Active NPI

Kristin Inkley, LMSW

  • Social Worker
  • O Fallon, MO
National Provider Identifier
1720893357
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2025001768 Issued in MO
Practice address
1100 Rock Creek Elementary School Dr
O Fallon, MO 63366-7577
Phone
(636) 294-5787
NPI assigned
Feb 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2025001768 MO Primary

Addresses

Primary practice location

1100 Rock Creek Elementary School Dr
O Fallon, MO 63366-7577

Mailing address

1100 Rock Creek Elementary School Dr
O Fallon, MO 63366-7577
Phone (636) 294-5787

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
2025001768MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Side by Side Wellness LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

1100 Rock Creek Elementary School Dr
O Fallon, MO 63366
Phone (636) 294-5787

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": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1720893357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ROCK CREEK ELEMENTARY SCHOOL DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633667577",
            "telephone_number": "636-294-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ROCK CREEK ELEMENTARY SCHOOL DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633667577",
            "telephone_number": "636-294-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INKLEY",
        "first_name": "KRISTIN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2025001768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.