Kimberly Jane Probst Warden, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2008034934 Issued in MO

Practice address

425 Marshall Ave
Saint Louis, MO 63119-1833

Phone

(314) 737-6848

NPI assigned

Jan 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1922545847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MARSHALL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191833",
            "telephone_number": "314-737-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MARSHALL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191833",
            "telephone_number": "314-737-6848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4130 Lindell Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631082914",
            "country_code": "US",
            "telephone_number": "314-535-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROBST WARDEN",
        "first_name": "KIMBERLY",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2008034934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Private Nursing Service, Inc.
• Pro Medical Reviews, LLC
• Pro Physicians Clinic PA
• Pro-Motion PT LLC
• Probst OB/GYN Services PC
• James Raymond Probst, MD
• John William Probst, D.D.S
• Peggy S Probst, MA, LPC
• Procare Home Health LLC
• Sarah Jane Prochniak, MD

• Clinical Social Worker in Saint Louis, MO
• Providers in 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 Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.