Lesa Marie Schnurbusch, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2009005892 Issued in MO

Practice address

498 Woods Mill Rd
Manchester, MO 63011-4144

Phone

(636) 391-9966

Fax

(636) 394-4678

NPI assigned

Oct 5, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Lesa Marie Shafer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1770818015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 WATSON RD",
            "address_2": "SUITE G101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261528",
            "telephone_number": "314-367-5500",
            "fax_number": "314-843-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 WOODS MILL RD",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630114144",
            "telephone_number": "636-391-9966",
            "fax_number": "636-394-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNURBUSCH",
        "first_name": "LESA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2009005892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770818015",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESA",
            "last_name": "SHAFER",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sage Occupational Therapy LLC
• Kathleen M Saldana, MPT
• Sthephanie Alexandra Sanchez-Padron, MS, LAT, ATC
• Sanjay a. Patwardhan, MD, PC
• Annalee Scandrett, LPC
• Alan G Schoenike, PHARM.D
• Scott Schuessler, D.P.T.
• Secure Adult Day Care LLC
• Secure Home Healthcare Services LLC
• Secure Home Healthcare Services LLC

• Clinical Social Worker in Manchester, MO
• Providers in Manchester, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.