St. Louis Play Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ST. LOUIS PLAY THERAPY, LLC

Practice address

9962 Lin Ferry Dr Ste 101
Saint Louis, MO 63123-6961

Phone

(314) 240-5109

NPI assigned

Aug 24, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Colleen Walsh Smithson, LCSWNPI 1225374689

Title

Owner

Phone

(314) 550-7451

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen W Smithson, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1225374689
  NPD Authorized official

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1851068175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 RUSSELL BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103705",
            "telephone_number": "314-550-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9962 LIN FERRY DR STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236961",
            "telephone_number": "314-240-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS PLAY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "SMITHSON",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "WALSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-550-7451",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Louis NH LLC
• St. Louis Office for DD Resources
• St. Louis Office for MRDD Resources
• St. Louis Pharmaceutical Services LLC
• St. Louis Play Therapy Institute
• St. Louis Project Club
• St. Louis Psychiatric Associates, LLC
• St. Louis Psychiatry Doctors Group, LLC
• St. Louis Public Schools
• St. Louis Public Schools

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.