Organization Active NPI

Elodie Andrews, LCSW, LLC

  • Clinical Social Worker
  • Olivette, MO
National Provider Identifier
1750783221
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2012028655 Issued in MO
Legal business name
ELODIE ANDREWS, LCSW, LLC
Practice address
9378 Olive Blvd Ste 106
Olivette, MO 63132-3222
Phone
(314) 933-6587
Fax
(888) 975-7670
NPI assigned
Sep 16, 2014
Last updated
May 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Authorized official

Name
Ms. Elodie Andrews, LCSWNPI 1184924276
Title
Owner
Phone
(314) 933-6587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2012028655 MO Primary

Addresses

Primary practice location

9378 Olive Blvd Ste 106
Olivette, MO 63132-3222

Mailing address

9378 Olive Blvd Ste 106
Olivette, MO 63132-3222
Phone (314) 933-6587

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141021001354 MO Part B Supplier - Clinic/Group Practice 9638390479 Receives reassigned benefits from 1 practitioner
Practice locations: Olivette, MO

National Provider Directory

National Provider Directory

Locations

2025 S Brentwood Blvd
#2011
Brentwood, MO 63144
Phone (314) 933-6587

2025 S Brentwood Blvd
Ste 2011
Saint Louis, MO 63144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1750783221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9378 OLIVE BLVD STE 106",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631323222",
            "telephone_number": "314-933-6587",
            "fax_number": "888-975-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9378 OLIVE BLVD STE 106",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631323222",
            "telephone_number": "314-933-6587",
            "fax_number": "888-975-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELODIE ANDREWS, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "ELODIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-933-6587",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2012028655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olivette, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.