Individual provider Active NPI

Jody Lynn Warren, MA LPC

  • Clinical Social Worker
  • St Louis, MO
National Provider Identifier
1891965711
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2003013776 Issued in MO
Practice address
10950 Schuetz Rd
St Louis, MO 63146-5704
Phone
(314) 993-1000
Fax
(314) 812-9305
NPI assigned
Mar 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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 2003013776 MO Primary

Addresses

Primary practice location

10950 Schuetz Rd
St Louis, MO 63146-5704

Mailing address

10950 Schuetz Rd
St Louis, MO 63146-5704
Phone (314) 993-1000

Other names 1

  • Jody Warmack Other name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2003013776MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1891965711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10950 SCHUETZ RD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631465704",
            "telephone_number": "314-993-1000",
            "fax_number": "314-812-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 SCHUETZ RD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631465704",
            "telephone_number": "314-993-1000",
            "fax_number": "314-812-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "JODY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MA LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2003013776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "WARMACK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.