DR. BRYAN CHARLES DUCKHAM (NPI# 1063804821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063804821 |
| Entity Type | Individual |
| Full Name | DR. BRYAN CHARLES DUCKHAM |
| Credential | PHD, MSW, LCSW |
| Practice Address |
12125 Woodcrest Exec. Drive Ste 110 St. Louis MO 63141 |
| Practice Telephone | 3142758599 |
| Practice Fax Number | 3142758299 |
| Mailing Telephone | 3142758599 |
| Mailing Fax Number | 3142758299 |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 366 | MO | Behavioral Health & Social Service Providers |
| Street Address |
12125 WOODCREST EXEC. DRIVE STE 110 |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174160337 | Dawn Martina Clark | Social Worker | 1150 Graham Road, St. Louis, MO 63139 | 2019-12-06 |
| 1437689213 | Veronica Leigh Delgado | Social Worker | 3430 Grace Ave, St. Louis, MO 63116 | 2017-06-14 |
| 1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
| 1740527878 | Kelsey A Torgerson | Social Worker | 330 N. Gore Ave, St. Louis, MO 63119-3016 | 2013-01-09 |
| 1366673931 | Cassandra Vernetta Talbert | Social Worker | 915 N. Grand., 122/jc Social Work Dept. V.a. Medical Center, St. Louis, MO 63106 | 2009-07-30 |
| 1861676686 | Bradley Dean Overmeyer | Social Worker | 915 N Grand Blvd., Social Work Service, St. Louis, MO 63106 | 2007-12-28 |
| 1326565847 | Keyria Shantell Jeffries | Social Worker | 2617 Shenandoah Ave, St. Louis, MO 63104 | 2017-08-25 |
| 1881944775 | Kathryn Claire Silversmith | Social Worker | 1034 S Brentwood Blvd, Suite 555, St. Louis, MO 63117 | 2012-09-18 |
| 1386954022 | Tanya Perry | Social Worker | 8631 Delmar Blvd., St. Louis, MO 63124 | 2010-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548423 | Leah Myers | Social Worker | 121 Timbercrest Rd, Saint Louis, MO 63122-1311 | 2020-11-04 |
| 1891303483 | Danielle Annette Marvin | Social Worker | 3633 Mcree Ave # A, Saint Louis, MO 63110-2617 | 2020-07-20 |
| 1881211829 | Sarah Jo Cross | Social Worker | 406 S Spring St, Ste 2, Perryville, MO 63775 | 2020-06-25 |
| 1023639283 | Priscilla Williams | Social Worker | 912 Jefferson St, Saint Charles, MO 63301-2744 | 2020-04-29 |
| 1114556081 | Eric Lee Nelson Wallen | Social Worker | 11 S Division St, Bonne Terre, MO 63628-1772 | 2020-04-03 |
| 1245863125 | Haylie S. Colby | Social Worker | 6300 N Revere Dr Ste 270, Kansas City, MO 64151-3919 | 2020-02-19 |
| 1609409804 | Anastasia Viveros-schmidt | Social Worker | 4031 Central St, Kansas City, MO 64111-2207 | 2020-02-16 |
| 1518598077 | Lee Ann Roberts | Social Worker | 103 Strauss Dr, Park Hills, MO 63601-2400 | 2020-02-03 |
| 1760021034 | Norma Jean Kelley | Social Worker | 1555 Ne Rice Rd Bldg B, Lees Summit, MO 64086-5849 | 2020-01-03 |
| 1356980759 | Erin Honeyfield | Social Worker | 6538 County Road 1730, West Plains, MO 65775-5327 | 2020-01-02 |
| Find all providers with the same taxonomy | ||||
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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.