Individual provider Active NPI

Lindsey Nicole Anderson, LCSW

  • Clinical Social Worker
  • Creve Coeur, MO
National Provider Identifier
1760981963
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2024033530 Issued in MO
Practice address
655 Craig Rd Ste 230
Creve Coeur, MO 63141-7170
Phone
(630) 363-6569
NPI assigned
Feb 3, 2018
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.102764 IL
Behavior Technician 106S00000X RBT-17-37803 IL
Clinical Social Worker 1041C0700X 2024033530 MO Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250218002885 MO Practitioner - Clinical Social Worker 3173043379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 4486004603, 3 clinicians

Practice addresses (Care Compare)

655 Craig Rd
Suite 230
Creve Coeur, MO 63141-7170
Phone (314) 974-7018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.102764ILMDSocial Worker
RBT-17-37803ILMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Change STL LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

655 Craig Rd
Ste 230
Saint Louis, MO 63141
Phone (314) 400-8073

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": "1517616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1760981963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 CRAIG RD STE 230",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 CRAIG RD STE 230",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417170",
            "telephone_number": "630-363-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LINDSEY",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-03",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.102764",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-17-37803",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024033530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.