Individual provider Active NPI

Lindsay Simons

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1952654568
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2012028656 Issued in MO
Practice address
13422 Clayton Rd Ste 220
Saint Louis, MO 63131-1008
Phone
(314) 936-6105
NPI assigned
Oct 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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 2012028656 MO Primary

Addresses

Primary practice location

13422 Clayton Rd Ste 220
Saint Louis, MO 63131-1008

Mailing address

13422 Clayton Rd Ste 220
Saint Louis, MO 63131-1008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 21, 2024 through Jun 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2012028656MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Empowerment Spot, LLC Clinical CurrentSince Sep 10, 2023 Accepting new patients

Locations

13422 Clayton Rd
Ste 220
Saint Louis, MO 63131
Phone (314) 361-6105

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": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1952654568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13422 CLAYTON RD STE 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13422 CLAYTON RD STE 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311008",
            "telephone_number": "314-936-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "LINDSAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2012028656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.