Individual provider Active NPI

Sandra Mabel Steele-Rendon, LCSW MENTAL HEALTH

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1740744499
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2017034637 Issued in MO
Practice address
1027 Bellevue Ave Lowr Level
Saint Louis, MO 63117-1851
Phone
(314) 768-8056
NPI assigned
Jan 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2017034637 MO
Mental Health Counselor 101YM0800X 2017034637 MO Primary

Addresses

Primary practice location

1027 Bellevue Ave Lowr Level
Saint Louis, MO 63117-1851

Mailing address

5069 Lindenwood Ave
Saint Louis, MO 63109-1728
Phone (314) 704-2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190325000022 MO Practitioner - Clinical Social Worker 9537409818 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Cardinal Glennon Childrens Hospital Current Accepting new patients
SSM Cardinal Glennon Children'S Hospital CurrentSince Sep 23, 2024 Accepting new patients
SSM Cardinal Glennon Childrens Hospital CurrentSince Sep 23, 2024 Accepting new patients
SSM Health Care St Louis CurrentSince Feb 11, 2019 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

12255 De Paul Dr
Ste 300
Bridgeton, MO 63044
Phone (314) 209-0933

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

Organizations & group practices 4

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": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1740744499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5069 LINDENWOOD AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091728",
            "telephone_number": "314-704-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 BELLEVUE AVE LOWR LEVEL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171851",
            "telephone_number": "314-768-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE-RENDON",
        "first_name": "SANDRA",
        "middle_name": "MABEL",
        "credential": "LCSW MENTAL HEALTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017034637",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2017034637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.