Amanda Moller, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2015002315 Issued in MO

Practice address

1034 S Brentwood Blvd
Suite 555
Richmond Heights, MO 63117-1223

Phone

(314) 932-7415

NPI assigned

Mar 17, 2016

Last updated

Mar 17, 2016By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• St Louis Trauma Counseling LLC

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1457803611
  Authorized official Same address or phone

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1780045807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD",
            "address_2": "SUITE 555",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD",
            "address_2": "SUITE 555",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171223",
            "telephone_number": "314-932-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLER",
        "first_name": "AMANDA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2015002315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Meyr
• Andrew J Miller, PHARM.D.
• Jenny Miller, MA, RD, LD
• Stacey Miller
• Lisa Rae Mohrman, M.D.
• Monarch Mental Health LLC (Chasing Nine Therapy)
• Eva Liz Montane, MD
• Lacita Moody, MA
• Joseph Todd Moore, FNP, DC
• Hannah Morgan

• Clinical Social Worker in Richmond Heights, MO
• Providers in Richmond Heights, 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 Mar 17, 2016; 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.