Individual provider Active NPI

Janey Archey, LCSW

  • Clinical Social Worker
  • Webster GRVS, MO
National Provider Identifier
1750712014
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000356 Issued in MO
Practice address
8772 Big Bend Blvd
Webster GRVS, MO 63119-3730
Phone
(314) 962-7788
NPI assigned
Dec 11, 2013
Last updated
Dec 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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 000356 MO Primary

Addresses

Primary practice location

8772 Big Bend Blvd
Webster GRVS, MO 63119-3730

Mailing address

4734 Alaska Ave
Saint Louis, MO 63111-1442
Phone (314) 660-6516

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
000356MOMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Change, LLC Clinical PastSince Jun 1, 2011 Accepting new patients

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": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1750712014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 ALASKA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631111442",
            "telephone_number": "314-660-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8772 BIG BEND BLVD",
            "city": "WEBSTER GRVS",
            "state": "MO",
            "postal_code": "631193730",
            "telephone_number": "314-962-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHEY",
        "first_name": "JANEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "000356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster GRVS, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.