Lindsey Nicole Anderson, LCSW
Individual provider Active NPI Clinical Social Worker · Creve Coeur, MO
NPI 1760981963 · NPPES record last updated Jan 31, 2025
Key facts
- NPI
- 1760981963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2024033530 (MO)
- Practice address
- 655 Craig Rd Ste 230
Creve Coeur, MO 63141-7170 - Phone
- (630) 363-6569
- NPI assigned
- Feb 3, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Washington University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mindful Change STL LLC
Practice addresses (Care Compare)
655 Craig Rd
Suite 230
Creve Coeur, MO 63141-7170
Phone (314) 974-7018
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250218002885 | MO | Practitioner - Clinical Social Worker | 3173043379 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.102764 | IL | MD | Social Worker |
| RBT-17-37803 | IL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Change STL LLC | Current |
Accepting new patients |
Locations
655 Craig Rd
Ste 230
Saint Louis, MO 63141
Phone (314) 400-8073
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.102764 | IL | |
| Behavior Technician | 106S00000X | RBT-17-37803 | IL | |
| Clinical Social Worker | 1041C0700X | 2024033530 | MO | Yes |
Addresses
Primary practice location
655 Craig Rd Ste 230
Creve Coeur, MO 63141-7170
Mailing address
655 Craig Rd Ste 230
Creve Coeur, MO 63141-7170
Other providers in Creve Coeur, MO
- Maggie Algya
- Align Health & Menopause Clinic LLC
- Allies 4 Health LLC
- Kelsey Lauren Anderson
- Krystle Anderson
- Andrew Zemcuznikov, LLC
- Murray Howard Appelbaum
- Benjamine Armistead
- Arnone Specific Chiropractic
- Arturo C. Taca, Jr., M.D. LLC
All providers in Creve Coeur, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.