Individual provider Active NPI

Kris M Wesche, MSSW

  • Clinical Social Worker
  • Lake Saint Louis, MO
National Provider Identifier
1841535168
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004475 Issued in MO
Practice address
1000 Lake Saint Louis Blvd Ste 210
Lake Saint Louis, MO 63367-2923
Phone
(314) 853-0735
NPI assigned
Nov 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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 004475 MO Primary

Addresses

Primary practice location

1000 Lake Saint Louis Blvd Ste 210
Lake Saint Louis, MO 63367-2923

Mailing address

3643 Hempstead St
Saint Charles, MO 63301-8104
Phone (314) 853-0735

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
004475MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1841535168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3643 HEMPSTEAD ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633018104",
            "telephone_number": "314-853-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LAKE SAINT LOUIS BLVD STE 210",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633672923",
            "telephone_number": "314-853-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESCHE",
        "first_name": "KRIS",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "004475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.