Individual provider Active NPI

Elaine Thayer Sr., LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1942536503
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000549 Issued in MO
Practice address
12813 Flushing Meadows Dr
Ste 140
Saint Louis, MO 63131-1835
Phone
(314) 712-8354
Fax
(314) 872-8033
NPI assigned
Nov 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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 000549 MO Primary

Addresses

Primary practice location

12813 Flushing Meadows Dr
Ste 140
Saint Louis, MO 63131-1835

Mailing address

12813 Flushing Meadows Dr
Ste 140
Saint Louis, MO 63131-1835
Phone (314) 712-8354

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
I20100327000213 MO Practitioner - Clinical Social Worker 5890821052 Practice locations: Saint Louis, MO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12813 Flushing Meadows Dr
Saint Louis, MO 63131-1835
Phone (314) 712-8354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000549MOMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Art Maines, LCSW LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1942536503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12813 FLUSHING MEADOWS DR",
            "address_2": "STE 140",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311835",
            "telephone_number": "314-712-8354",
            "fax_number": "314-872-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12813 FLUSHING MEADOWS DR",
            "address_2": "STE 140",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311835",
            "telephone_number": "314-712-8354",
            "fax_number": "314-872-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "ELAINE",
        "name_prefix": "Mrs.",
        "name_suffix": "Sr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "000549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.