Individual provider Active NPI

Michelle Lee Hall, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1982359758
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2021040997 Issued in MO
Practice address
11140 S Towne SQ Ste 200
Saint Louis, MO 63123-7830
Phone
(314) 742-8453
Fax
(314) 784-7444
NPI assigned
Feb 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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 2021040997 MO Primary

Addresses

Primary practice location

11140 S Towne SQ Ste 200
Saint Louis, MO 63123-7830

Mailing address

11140 S Towne SQ Ste 200
Saint Louis, MO 63123-7830
Phone (314) 742-8453

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
I20220815002735 MO Practitioner - Clinical Social Worker 6406239011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11140 S Towne SQ
Suite 200
Saint Louis, MO 63123-7830
Phone (314) 742-8453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Self Counseling, LLC Clinical CurrentSince Jul 22, 2022 Accepting new patients

Locations

11140 S Towne Sq
Ste 200
Saint Louis, MO 63123
Phone (314) 472-3228

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": "1645228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1982359758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 S TOWNE SQ STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237830",
            "telephone_number": "314-742-8453",
            "fax_number": "314-784-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 S TOWNE SQ STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237830",
            "telephone_number": "314-742-8453",
            "fax_number": "314-784-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-19",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021040997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.