Individual provider Active NPI

Diane Beckerle Obrien, MSW, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1922438647
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004490 Issued in MO
Practice address
745 Craig Rd
Suite 212
Saint Louis, MO 63141-7160
Phone
(314) 395-7560
Fax
(314) 395-7563
NPI assigned
Nov 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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 004490 MO Primary

Addresses

Primary practice location

745 Craig Rd
Suite 212
Saint Louis, MO 63141-7160

Mailing address

745 Craig Rd
Suite 212
Saint Louis, MO 63141-7160
Phone (314) 395-7560

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1922438647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 CRAIG RD",
            "address_2": "SUITE 212",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417160",
            "telephone_number": "314-395-7560",
            "fax_number": "314-395-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 CRAIG RD",
            "address_2": "SUITE 212",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417160",
            "telephone_number": "314-395-7560",
            "fax_number": "314-395-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "DIANE",
        "middle_name": "BECKERLE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "004490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.