LAQUITTA ANTIONETTE WILDER (NPI# 1437692654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437692654 |
| Entity Type | Individual |
| Full Name | LAQUITTA ANTIONETTE WILDER |
| Credential | LMSW |
| Practice Address |
3115 S Grand Blvd Suite 450 Saint Louis MO 63118-1034 |
| Practice Telephone | 3145770444 |
| Mailing Telephone | 3145770444 |
| Enumeration Date | 2016-11-19 |
| Last Update Date | 2016-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 2016040915 | MO | Behavioral Health & Social Service Providers |
| Street Address |
3115 S GRAND BLVD SUITE 450 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63118-1034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093870735 | Katharine Susan Feder | Psychologist | 3115 S Grand Blvd, 400 A, Saint Louis, MO 63118-1034 | 2006-12-22 |
| 1427676295 | Megan Mason | Occupational Therapist | 3115 S Grand Blvd, Saint Louis, MO 63118-1034 | 2020-07-08 |
| 1861903361 | Megan Christine Janushanis | Counselor | 3115 S Grand Blvd, Saint Louis, MO 63118-1034 | 2017-10-24 |
| 1215487590 | Marie Bonner-horon | Counselor | 3115 S Grand Blvd, Suite 450, Saint Louis, MO 63118-1034 | 2016-10-10 |
| 1548678956 | Central Light Counseling, LLC | Community/Behavioral Health | 3115 S Grand Blvd, 450, Saint Louis, MO 63118-1034 | 2014-07-29 |
| 1689089898 | Remargo Yancie | Counselor | 3115 S Grand Blvd, Suite 450, Saint Louis, MO 63118-1034 | 2014-06-25 |
| 1144578519 | Sara Allen | Counselor | 3115 S Grand Blvd, Suite 450, Saint Louis, MO 63118-1034 | 2012-08-16 |
| 1861703944 | Alexandria C. Boyer | Counselor | 3115 S Grand Blvd, Suite 450, Saint Louis, MO 63118-1034 | 2010-06-23 |
| 1093944100 | Miriam L Schroeder | Psychiatry & Neurology | 3115 S Grand Blvd, Suite 400-b, Saint Louis, MO 63118-1034 | 2009-07-09 |
| 1699900746 | Ryan David Liberati | Counselor | 3115 S Grand Blvd, Suite 450, Saint Louis, MO 63118-1034 | 2009-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1154839488 | Serenity Gardens Home Health Services LLC. | Home Health | 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 | 2018-01-22 |
| 1861917759 | Freedom Day Center, LLC | Meals | 3309 Meramec Street, Saint Louis, MO 63118 | 2017-08-11 |
| 1669901450 | Stanley Eziukwu | Student in an Organized Health Care Education/Training Program | 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 | 2017-06-06 |
| 1467987651 | Hinna Shahid | Internal Medicine | 3545 South Jefferson Ave, St. Louis, MO 63118 | 2017-04-25 |
| 1225436959 | Shelley Stretch | Counselor | 4066 Dunnica Avenue, St. Louis, MO 63118 | 2014-12-11 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1275898173 | Stephanie Lynn Cullinan | Optometrist | 3122 S Grand, St. Louis, MO 63118 | 2012-07-07 |
| 1174822555 | Morgan Patrick Morris | Chiropractor | 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 | 2011-03-24 |
| 1043481955 | Victor Rivera Md LLC | Obstetrics & Gynecology | 3535 S Jefferson, Suite 106, St Louis, MO 63118 | 2008-03-19 |
| Find all providers in zip 63118 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1619441656 | Natasha D Ceballos | Social Worker | 4130 Lindell Blvd # Blvd1, Saint Louis, MO 63108-2914 | 2019-01-13 |
| 1194292953 | Mary M Gray | Social Worker | 1121 Olivette Executive Pkwy Ste 205, Saint Louis, MO 63132-3254 | 2018-10-30 |
| 1881170850 | Kathleen Fiorini | Social Worker | 11775 Borman Dr, Saint Louis, MO 63146-4134 | 2018-07-12 |
| 1235630880 | Caroline Graham | Social Worker | 1205 Mackay Pl, Saint Louis, MO 63104-2407 | 2018-02-27 |
| 1447771266 | Justine L Carlson | Social Worker | 621 S New Ballas Rd Ste 2003b, Saint Louis, MO 63141-8265 | 2017-07-01 |
| 1801323126 | Joyce Lanise Poole | Social Worker | 4232 W Pine Blvd, Saint Louis, MO 63108-2840 | 2017-05-17 |
| 1528592938 | D'juan Huddleston Sr. | Social Worker | 11890 Hidden Lake Dr, Saint Louis, MO 63138-1202 | 2017-04-13 |
| 1831638550 | Sonia Nothmann | Social Worker | 4059 Shenandoah Ave Apt 2f, Saint Louis, MO 63110-3928 | 2017-02-14 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63118 |
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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.