Active NPI
Christina Melin Larrigan, LCSW
- Clinical Social Worker
- Weldon Spring, MO
National Provider Identifier
1992833545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2004030919
- Practice address
- 1120 Wolfrum Rd
Sutie 201, Room 204
Weldon Spring, MO 63304-7898 - Phone
- (636) 442-5674
- Fax
- (636) 442-5601
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2004030919 | MO | Primary |
Addresses
Primary practice location
1120 Wolfrum Rd
Sutie 201, Room 204
Weldon Spring, MO 63304-7898
Mailing address
212 Brougham Dr
O Fallon, MO 63368-8002
Phone (636) 244-8708
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070808000417 | MO | Practitioner - Clinical Social Worker | 4486745254 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Main Street Counseling, LLC
Practice addresses (Care Compare)
1284 Jungermann Rd
Saint Peters, MO 63376-6966
Phone (636) 498-0700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Counseling, LLC | Clinical | Current | Accepting new patients |
| Westplex Counseling, LLC | Clinical | Past | Accepting new patients |
| Serenity Counseling Services LLC | Clinical | Past | Accepting new patients |
Locations
1286 Jungermann Rd
Ste G
Saint Peters, MO 63376
Phone (636) 498-0700
1284 Jungermann Rd
Saint Peters, MO 63376
Phone (636) 498-0700
Organizations & group practices 3
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": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992833545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 BROUGHAM DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633688002",
"telephone_number": "636-244-8708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 WOLFRUM RD",
"address_2": "SUTIE 201, ROOM 204",
"city": "WELDON SPRING",
"state": "MO",
"postal_code": "633047898",
"telephone_number": "636-442-5674",
"fax_number": "636-442-5601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARRIGAN",
"first_name": "CHRISTINA",
"middle_name": "MELIN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2004030919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weldon Spring, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.