Individual provider Active NPI

Lauren Elizabeth Chacon, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1881558377
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2025049516 Issued in MO
Practice address
1215 Fern Ridge Pkwy Ste 110
Saint Louis, MO 63141-4405
Phone
(314) 275-8599
Fax
(314) 275-8299
NPI assigned
Dec 10, 2025
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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 2025049516 MO Primary

Addresses

Primary practice location

1215 Fern Ridge Pkwy Ste 110
Saint Louis, MO 63141-4405

Mailing address

1215 Fern Ridge Pkwy Ste 110
Saint Louis, MO 63141-4405
Phone (314) 275-8599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260129003657 MO Practitioner - Clinical Social Worker 8820576994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6048 Pershing Ave
Saint Louis, MO 63112-1310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025049516MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Madmar, LLC CurrentSince Jan 14, 2026 Accepting new patients
Fitzgibbons Psychological West County Psychological Associates CurrentSince Dec 14, 2025 Accepting new patients

Locations

1215 Fern Ridge Pkwy
#110W
Saint Louis, MO 63141
Phone (314) 275-8599

1215 Fern Ridge Pkwy
Ste 110
Saint Louis, MO 63141
Phone (314) 275-8599

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1881558377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 FERN RIDGE PKWY STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631414405",
            "telephone_number": "314-275-8599",
            "fax_number": "314-275-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 FERN RIDGE PKWY STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631414405",
            "telephone_number": "314-275-8599",
            "fax_number": "314-275-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2025049516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.