DR. JEROME ANDERSON (NPI# 1023435807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023435807 |
| Entity Type | Individual |
| Full Name | DR. JEROME ANDERSON |
| Credential | DSW, LCSW, BCD, CCFC |
| Practice Address |
1719 Coupru Ct Saint Peters MO 63376-4558 |
| Practice Telephone | 3146514014 |
| Mailing Telephone | 3146514014 |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2018-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2011009028 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780981514 | Jerome Keith Anderson | Counselor | 1151 Taylor St Ste 570a, Detroit, MI 48202-1732 | 2011-02-14 |
| 1619955986 | Jerome D Anderson | Pathology | 525 E Grant St, Macomb, IL 61455-3313 | 2006-01-05 |
| 1265436281 | Jerome Lyman Anderson | Internal Medicine | 3433 Nw 56th St, Ste 400, Oklahoma City, OK 73112-4430 | 2005-06-08 |
| Street Address |
1719 COUPRU CT |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-4558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073063343 | Sara Ann Carter | Social Worker | 1286 Jungermann Rd Ste G, Saint Peters, MO 63376-6967 | 2016-10-10 |
| 1497178263 | Laurie J Evans-schoenecker | Social Worker | 250 Birdie Hills Rd, Saint Peters, MO 63376-1929 | 2014-01-29 |
| 1558621946 | Jennifer Sebacher LLC | Social Worker | 21 Bartley St, Saint Peters, MO 63376-2720 | 2012-05-21 |
| 1740546969 | Cheryl Lynn Stroud | Social Worker | 1284 Jungermann Rd Ste B, Saint Peters, MO 63376-6966 | 2012-04-02 |
| 1619298338 | Ashley Willenbrock | Social Worker | 8075 Mexico Rd, Saint Peters, MO 63376-1118 | 2010-06-16 |
| 1790958304 | Robert Mccullough | Social Worker | 209 Black Oak Dr, Saint Peters, MO 63376-1740 | 2008-04-04 |
| 1164613618 | Michelle Suzanne Schmidt | Social Worker | 1270 Jungermann Rd, Suite D, Saint Peters, MO 63376-6960 | 2007-08-08 |
| 1710188628 | Tenecia Ann Echols | Social Worker | 1201 Carnegie Dr, Saint Peters, MO 63376-6301 | 2007-05-29 |
| 1013049030 | Margaret Ann Roberts | Social Worker | 1306 Ticonderoga Dr, Saint Peters, MO 63376-6559 | 2007-03-12 |
| 1972654218 | Karen Maccausland | Social Worker | 1272 Jungermann Rd, Suite C, Saint Peters, MO 63376-6968 | 2007-01-15 |
| Find all providers in SAINT PETERS | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.