Active NPI
Mark D Mehlig, D.MIN.
- Clinical Social Worker
- Lake St Louis, MO
National Provider Identifier
1750025508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1000 Edgewater Point Drive Ste 401
Lake St Louis, MO 63367-2954 - Phone
- (636) 442-2612
- Fax
- (636) 265-2905
- NPI assigned
- Apr 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1000 Edgewater Point Drive Ste 401
Lake St Louis, MO 63367-2954
Mailing address
50 Georgetown Cir
O Fallon, MO 63368-8550
Phone (314) 780-4678
Other practice location 1
608 Jefferson St # 2A
Saint Charles, MO 63301-2776
Phone (636) 328-0878
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1750025508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 GEORGETOWN CIR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633688550",
"telephone_number": "314-780-4678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 EDGEWATER POINT DRIVE STE 401",
"city": "LAKE ST LOUIS",
"state": "MO",
"postal_code": "633672954",
"telephone_number": "636-442-2612",
"fax_number": "636-265-2905"
}
],
"practiceLocations": [
{
"address_1": "608 Jefferson St # 2A",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "633012776",
"country_code": "US",
"telephone_number": "636-328-0878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHLIG",
"first_name": "MARK",
"middle_name": "D",
"credential": "D.MIN.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-26",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake St Louis, MO
- Medical Transportation Management, Inc.
- Medical Transportation Management, Inc.
- Medical Transportation Management, Inc.
- Medical Transportation Management, Inc.
- Medical Transportation Management, Inc.
- Dorian Lee Menzel, OTR
- Michael and Angela Pernoud, DDS, PC
- Midwest Counseling Services
- Midwest OB-GYN Associates LTD
- Melissa Jean Milford, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.