Andrea R. Bohannon, M.A., L.P.C.

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

L204052020 Issued in MO

Practice address

330 N Gore Ave
Saint Louis, MO 63119

Phone

(314) 919-4700

NPI assigned

Oct 22, 2007

Last updated

Jun 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Andrea R. Rice Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1760671218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N GORE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191600",
            "telephone_number": "314-919-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N GORE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63119",
            "telephone_number": "314-919-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHANNON",
        "first_name": "ANDREA",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MO",
            "license": "L204052020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "RICE",
            "middle_name": "R.",
            "prefix": "MISS",
            "credential": "M.A., P.L.P.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Sue Bogle, FNP
• Stuart Mark Bogner, M.D.
• William Bogue, RN
• Glenn Bogus, NP
• Esther Rachael Elizabeth Boguszewski, LMSW
• Clinton Bohannon, PHARMD
• Tiffany Ann Bohannon
• Keshia S Bohanon, LPN
• George Michael Bohigian, MD
• Qiana Bohlen

• School Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• School Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.