Individual provider Active NPI

Rhonda Rae Mabley

  • Clinical Social Worker
  • Arnold, MO
National Provider Identifier
1902160575
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2023006687 Issued in MO
Practice address
1830 Jeffco Blvd
Arnold, MO 63010-2778
Phone
(314) 560-7215
NPI assigned
Jun 28, 2012
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 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 2023006687 MO Primary

Addresses

Primary practice location

1830 Jeffco Blvd
Arnold, MO 63010-2778

Mailing address

5023 Snowberry St
Imperial, MO 63052-1551
Phone (314) 560-7215

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
I20250616001403 MO Practitioner - Clinical Social Worker 9638680853 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023006687MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mypathtoself Inc. CurrentSince Jun 9, 2025 Accepting new patients

Locations

12818 Tesson Ferry Rd
Ste 103
Saint Louis, MO 63128
Phone (314) 650-9537

2464 Taylor Rd
Wildwood, MO 63040

Organizations & group practices 1

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": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1902160575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 SNOWBERRY ST",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "630521551",
            "telephone_number": "314-560-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 JEFFCO BLVD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102778",
            "telephone_number": "314-560-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABLEY",
        "first_name": "RHONDA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2023006687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MO

Sources for this page

Verify at the official NPI Registry.