Individual provider Active NPI

Barbara Jane Edelman, MSW

  • Clinical Social Worker
  • Arnold, MO
National Provider Identifier
1801991906
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5433 Issued in MO
Practice address
3675 W Outer Rd Ste 203
Arnold, MO 63010-5232
Phone
(314) 898-0102
Fax
(636) 296-3249
NPI assigned
Sep 13, 2006
Last updated
Nov 13, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5433 MO Primary

Addresses

Primary practice location

3675 W Outer Rd Ste 203
Arnold, MO 63010-5232

Mailing address

2650 Olive St
Saint Louis, MO 63103-1424
Phone (314) 371-6500

Other identifiers 1

IdentifierTypeStateIssuer
494776305MedicaidMO

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
I20040123000130 MO Practitioner - Clinical Social Worker 8224930946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9051 Watson Rd
Saint Louis, MO 63126-2241
Phone (314) 780-4906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5433MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara J Edelman, LLC Clinical CurrentSince Nov 1, 2012 Accepting new patients

Locations

9051 Watson Rd
Ste 316
Saint Louis, MO 63126
Phone (314) 780-4906

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1801991906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 OLIVE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031424",
            "telephone_number": "314-371-6500",
            "fax_number": "314-371-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 W OUTER RD STE 203",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630105232",
            "telephone_number": "314-898-0102",
            "fax_number": "636-296-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELMAN",
        "first_name": "BARBARA",
        "middle_name": "JANE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "5433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494776305",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MO

Sources for this page

Verify at the official NPI Registry.