Individual provider Active NPI

Jennifer Suzanne Stenson, MSW, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1760697478
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW005815 Issued in MO
Practice address
9378 Olive Blvd
Saint Louis, MO 63132-3215
Phone
(314) 993-7080
Fax
(314) 567-5629
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW005815 MO Primary

Addresses

Primary practice location

9378 Olive Blvd
Saint Louis, MO 63132-3215

Mailing address

507 Coulter Ave
Kirkwood, MO 63122-5540
Phone (314) 307-0502

Other names 1

  • Ms. Jennifer Suzanne Gadsky Professional name

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
SW005815MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760697478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 COULTER AVE",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631225540",
            "telephone_number": "314-307-0502",
            "fax_number": "314-567-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9378 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323215",
            "telephone_number": "314-993-7080",
            "fax_number": "314-567-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENSON",
        "first_name": "JENNIFER",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW005815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GADSKY",
            "middle_name": "SUZANNE",
            "prefix": "MS.",
            "credential": "MSW, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.