JW Mediation & Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2001022988 Issued in MO

Legal business name

JW MEDIATION & THERAPY, LLC

Practice address

2440 Executive Dr Ste 210
Saint Charles, MO 63303-5607

Phone

(636) 447-1902

Fax

(636) 447-1902

NPI assigned

Jan 29, 2013

Organization subpart

No

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

Authorized official

Name

Julie Wiechens, MSW, LCSWNPI 1124108527

Title

Therapist/Owner

Phone

(636) 447-1902

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

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

• Julie Michelle Wiechens, M.S.W., L.C.S.W

  • Clinical Social Worker
  • Saint Charles, MO
  • NPI 1124108527
  Medicare reassignment NPD Authorized official
• Mackenzie L. Lester, MSW, LCSW

  • Clinical Social Worker
  • Saint Peters, MO
  • NPI 1528072832
  NPD (past)

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1861730616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 EXECUTIVE DR STE 210",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035607",
            "telephone_number": "636-447-1902",
            "fax_number": "636-447-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 EXECUTIVE DR STE 210",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035607",
            "telephone_number": "636-447-1902",
            "fax_number": "636-447-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JW MEDIATION & THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "WIECHENS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "636-447-1902",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2001022988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jubilee Home Health Care Inc
• Chance Juenger, M.D.
• Khaled Jumean, M.D.
• Katelyn Junghans
• Elaine Theresa Jurkowski, MSW, LCSW, PHD, MBA
• Christine A Kamp, PA
• Courtney Elizabeth Kampwerth, LCSW
• Krishna Kanakadandila, M.D.
• Ellie Victoria Kane, DC
• Neha Karajgikar, MD

• Clinical Social Worker in Saint Charles, MO
• Providers in Saint Charles, 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 Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.