Individual provider Active NPI

Shervin B Ardekani, MSW, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1821136383
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2007000511 Issued in MO
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

Updated by the provider on Mar 27, 2008

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 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

IdentifierTypeStateIssuer
209580OtherBLUE 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

LicenseStateTypeSpecialty
2007000511MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Best Self Counseling, Licensed Clinical Social Worker, Inc CurrentSince Feb 11, 2024 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.

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.

Verify at the official NPI Registry.