Individual provider Active NPI

Samara Lillioja, LMSW

  • Social Worker
  • Saint Louis, MO
National Provider Identifier
1740170786
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2023048945 Issued in MO
Practice address
3155 Sutton Blvd
Saint Louis, MO 63143-3919
Phone
(314) 781-7900
NPI assigned
Jul 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 2023048945 MO Primary

Addresses

Primary practice location

3155 Sutton Blvd
Saint Louis, MO 63143-3919

Mailing address

3155 Sutton Blvd
Saint Louis, MO 63143-3919
Phone (314) 781-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3155 Sutton Blvd
Suite 201
Maplewood, MO 63143-3917

3166 Portis Ave
Saint Louis, MO 63116-2024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023048945MOMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1740170786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 SUTTON BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631433919",
            "telephone_number": "314-781-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 SUTTON BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631433919",
            "telephone_number": "314-781-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLIOJA",
        "first_name": "SAMARA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2023048945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.