Tofbc, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2001020554 Issued in MO

Legal business name

TOFBC, LLC

Practice address

1000 Lake Saint Louis Blvd
Suite 261
Lake Saint Louis, MO 63367-1340

Phone

(636) 561-0268

Fax

(636) 625-1580

NPI assigned

Mar 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Vicky Lynn Glass, L.C.S.W.NPI 1417086448

Title

Therapist, Member of Tofbc, LLC

Phone

(636) 561-0268

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vicky Lynn Glass, L.C.S.W.

  • Clinical Social Worker
  • Lake Saint Louis, MO
  • NPI 1417086448
  NPD (past) Authorized official

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881723773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LAKE SAINT LOUIS BLVD",
            "address_2": "SUITE 261",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633671340",
            "telephone_number": "636-561-0268",
            "fax_number": "636-625-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LAKE SAINT LOUIS BLVD",
            "address_2": "SUITE 261",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633671340",
            "telephone_number": "636-561-0268",
            "fax_number": "636-625-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOFBC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "THERAPIST, MEMBER OF TOFBC, LLC",
        "authorized_official_telephone_number": "636-561-0268",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2001020554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS ID#",
            "identifier": "152189",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495246514 (46,47,48)",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adam Lee Trimpe, FNP-C
• Lee Trotter, RPH
• Sarah Udell, MS, RD/LD

• Clinical Social Worker in Lake Saint Louis, MO
• Providers in Lake 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 22, 2020; 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.