Fnu Mailisi, LCSW
Individual provider Active NPI Clinical Social Worker · Town and Country, MO
NPI 1821813205 · NPPES record last updated Jul 21, 2026
Key facts
- NPI
- 1821813205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2021044344 (MO)
- Practice address
- 14323 S Outer 40 Rd
Town and Country, MO 63017-5739 - Phone
- (314) 325-6886
- NPI assigned
- Nov 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241204002185 | MO | Practitioner - Clinical Social Worker | 4385170158 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021044344 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Mental Health Associates PC | Current |
Accepting new patients | |
| Cedar Grove Counseling, LLC | Clinical | Past | Accepting new patients |
Locations
1300 County Farm Rd
Cassville, MO 65625
Phone (417) 847-3386
7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2021044344 | MO | Yes |
Addresses
Primary practice location
14323 S Outer 40 Rd
Town and Country, MO 63017-5739
Mailing address
14323 S Outer 40 Rd
Town and Country, MO 63017-5739
Phone (314) 325-6886
Other practice location 1
550 White Rd
Chesterfield, MO 63017-2316
Phone (888) 365-6271
Other names
- Mai Lisi
Other providers in Town and Country, MO
- Natania Lipp
- Lisa B Dibler OD LLC
- Daili Llavona
- Dawn Lopinot
- Aisha Kashif Lubinski
- Jaimie Marie Mains
- Justin Mann
- Thomas Harold McGowan
- Kimberley McGuiness
- Adrienne Paige McWherter
All providers in Town and Country, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.