Active NPI
Shervin B Ardekani, MSW, LCSW
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1821136383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2007000511
- Practice address
- 10004 Kennerly Rd Ste 310a
Saint Louis, MO 63128-5117 - Phone
- (314) 843-3310
- Fax
- (314) 843-8825
- NPI assigned
- Feb 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2007000511 | MO | Primary |
Addresses
Primary practice location
10004 Kennerly Rd Ste 310a
Saint Louis, MO 63128-5117
Mailing address
8025 Bonhomme Ave Apt 1509
Clayton, MO 63105-3528
Phone (314) 721-3665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209580 | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007000511 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Self Counseling, Licensed Clinical Social Worker, Inc | Current | Accepting new patients |
Locations
2020 Columbia St
San Diego, CA 92101
Phone (314) 270-2513
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.
-
dba Best Self Counseling
- Social Worker
- San Diego, CA
- NPI 1548023088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1821136383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8025 BONHOMME AVE APT 1509",
"city": "CLAYTON",
"state": "MO",
"postal_code": "631053528",
"telephone_number": "314-721-3665",
"fax_number": "314-843-8825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10004 KENNERLY RD STE 310A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631285117",
"telephone_number": "314-843-3310",
"fax_number": "314-843-8825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARDEKANI",
"first_name": "SHERVIN",
"middle_name": "B",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-04",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2007000511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "209580",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.