Active NPI
Maria L Childress, MSW, LCSW
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1841834009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2004022425
- Practice address
- 1329 Macklind Ave Ste 200
Saint Louis, MO 63110-1400 - Phone
- (314) 645-7800
- Fax
- (314) 645-7802
- NPI assigned
- Oct 31, 2019
- 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 | 2004022425 | MO | Primary |
Addresses
Primary practice location
1329 Macklind Ave Ste 200
Saint Louis, MO 63110-1400
Mailing address
1329 Macklind Ave Ste 200
Saint Louis, MO 63110-1400
Phone (314) 645-7800
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2004022425 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch Immigrant Services | Clinical | Current | Accepting new patients |
Locations
1329 Macklind Ave
Ste 200
Saint Louis, MO 63110
Phone (314) 585-5241
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1841834009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 MACKLIND AVE STE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101400",
"telephone_number": "314-645-7800",
"fax_number": "314-645-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 MACKLIND AVE STE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101400",
"telephone_number": "314-645-7800",
"fax_number": "314-645-7802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDRESS",
"first_name": "MARIA",
"middle_name": "L",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-31",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2004022425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Children'S Advocacy Services of Greater St. Louis
- Children'S Advocacy Services of Greater St. Louis
- Children'S Clinic, Inc
- Children'S Foundation of Mid America
- Katherine Marie Scolari Childress, M.D.
- Teka Childress, BA
- Tessia N Childs, APRN
- Jonathan Currie Chiles, MD
- Linsie Chiles, RN, CLC, RNC
- Kaitlin Marie Chilman, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.