KEYRIA SHANTELL JEFFRIES (NPI# 1326565847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326565847 |
| Entity Type | Individual |
| Full Name | KEYRIA SHANTELL JEFFRIES |
| Credential | LMSW |
| Practice Address |
2617 Shenandoah Ave St. Louis MO 63104 |
| Mailing Address |
2617 Shenandoah Ave Saint Louis MO 63104-2311 |
| Practice Telephone | (314) 399-1576 |
| Mailing Telephone | 3143991576 |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 2016036063 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MSW | 2016036063 | 01 |
| Street Address |
2617 SHENANDOAH AVE |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| 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 |
| 1063804821 | Bryan Charles Duckham | Social Worker | 12125 Woodcrest Exec. Drive Ste 110, St. Louis, MO 63141 | 2015-03-03 |
| 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 |
| 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.