Individual provider Active NPI

Cheryl Kinney, LCSW

  • Clinical Social Worker
  • Manchester, MO
National Provider Identifier
1992328710
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005288 Issued in MO
Practice address
623 Meramec Station Rd
Manchester, MO 63021-5550
Phone
(314) 266-9131
NPI assigned
May 27, 2020
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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 005288 MO Primary

Addresses

Primary practice location

623 Meramec Station Rd
Manchester, MO 63021-5550

Mailing address

1237 Warson Woods Dr
Saint Louis, MO 63122-1735
Phone (314) 608-2527

Other names 1

  • Cherly Wingbermuehle Former name

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
I20200729001942 MO Practitioner - Clinical Social Worker 7315362084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1237 Warson Woods Dr
Saint Louis, MO 63122-1735
Phone (314) 608-2527

747 Samoa Dr
Saint Louis, MO 63126-1458
Phone (314) 749-8783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CM Kinney and Associates, LLC Clinical CurrentSince Aug 1, 2020 Accepting new patients
Memory Keepers, LLC Clinical CurrentSince Aug 1, 2021 Accepting new patients

Locations

623 Meramec Station Rd
Manchester, MO 63021
Phone (314) 266-9131

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1992328710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 WARSON WOODS DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221735",
            "telephone_number": "314-608-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 MERAMEC STATION RD",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630215550",
            "telephone_number": "314-266-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "CHERYL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "005288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERLY",
            "last_name": "WINGBERMUEHLE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manchester, MO

Sources for this page

Verify at the official NPI Registry.