Cornerstone Therapy Services

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

2015043579 Issued in MO

Legal business name

CORNERSTONE THERAPY SERVICES

Practice address

7905 Big Bend Blvd Ste 206
Webster Groves, MO 63119-2715

Phone

(314) 596-2049

NPI assigned

Jun 27, 2016

Last updated

Jun 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Fonseca, LCSW

Title

Licensed Clinical Social Worker

Phone

(314) 596-2049

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1790136216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 BIG BEND BLVD STE 206",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192715",
            "telephone_number": "314-596-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 BIG BEND BLVD STE 206",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192715",
            "telephone_number": "314-596-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "314-596-2049",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MO",
            "license": "2015043579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Webster Groves, MO
• Providers in Webster Groves, MO by specialty
• Point of Service in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.