COLLECTIVE WELLNESS, LLC (NPI# 1558835033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558835033 |
| Entity Type | Organization |
| Organization Name | COLLECTIVE WELLNESS, LLC |
| Practice Address |
9666 Olive Blvd Ste 205 Olivette MO 63132-3025 |
| Practice Telephone | 3148841511 |
| Mailing Telephone | 3148841511 |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |
| Authorized Official Name | MADELILNE SEIM (OWNER) |
| Authorized Official Telephone | 6362267711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COLLECTIVE WELLNESS, LLC | 11935 Nw Kearney St, Portland, OR 97229 |
| Connecticut Business Registrations | COLLECTIVE WELLNESS, LLC | 21 Bonnie Brook Road, Westport, CT 06880 |
| Street Address |
9666 OLIVE BLVD STE 205 |
| City | OLIVETTE |
| State | MO |
| Zip Code | 63132-3025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255677043 | Latonia Ann Coates-smith | Social Worker | 9666 Olive Blvd Ste 205, Olivette, MO 63132-3025 | 2012-12-24 |
| 1669070892 | Kidney Wellcare & Counseling LLC | Dietitian, Registered | 9666 Olive Blvd Ste 205, Olivette, MO 63132-3025 | 2020-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505712 | Takesha Sharice Gates | Home Health | 1614 Page Industrial Blvd, Apt A, Overland, MO 63132 | 2020-07-16 |
| 1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
| 1538715354 | Katharine M Rug | Dietitian, Registered | 1177 North Warson Rd, St. Louis, MO 63132 | 2019-08-16 |
| 1194295964 | Rivka Goldenhersh, D.m.d., LLC | Dentist | 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 | 2018-12-04 |
| 1265902829 | Danica Dupree | Behavior Technician | 1322 Baur Blvd, Olivette, MO 63132 | 2018-11-27 |
| 1598277766 | Carol Lynne Oliver | Counselor | 10176 Corporate Square Dr Ste Office13, Saint Louis, MO 63132 | 2017-10-27 |
| 1972053783 | Rebecca Newel | Counselor | 9378 Olive Blvd Ste 312, Olivette, MO 63132 | 2016-10-05 |
| 1942654074 | Felicia Harris | Durable Medical Equipment & Medical Supplies | 10096 Page Blvd, St Loius, MO 63132 | 2016-04-14 |
| 1518328087 | Joseph Franklin Doney | Counselor | 10101 Woodfield Lane St., Suite 100, St. Louis, MO 63132 | 2016-03-11 |
| 1528428141 | Visiting Personal Care Attendants | Nursing Care | 9270 Olive Blvd Ste A, Olivette, MO 63132 | 2016-02-24 |
| Find all providers in zip 63132 | ||||
| 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 |
|---|---|---|---|---|
| 1164825279 | Waverly Pinkston | Social Worker | 1015 Corporate Square Dr Ste 240, Olivette, MO 63132-2938 | 2014-10-02 |
| 1457771206 | Deanna K. Witt | Social Worker | 9378 Olive Blvd Ste 318, Olivette, MO 63132-3224 | 2014-04-21 |
| 1255677043 | Latonia Ann Coates-smith | Social Worker | 9666 Olive Blvd Ste 205, Olivette, MO 63132-3025 | 2012-12-24 |
| 1841444775 | Shelly Lynne Byndom | Social Worker | 9666 Olive Blvd Ste 330, Olivette, MO 63132-3035 | 2008-11-05 |
| 1396903753 | Anita Diane Cohn | Social Worker | 11 Bon Price Ln, Olivette, MO 63132-3728 | 2008-06-01 |
| 1740382241 | Terry Surinsky | Social Worker | 709 Mansfield Dr, Olivette, MO 63132-3316 | 2006-09-04 |
| 1750783221 | Elodie Andrews, Lcsw, LLC | Social Worker | 9378 Olive Blvd Ste 106, Olivette, MO 63132-3222 | 2014-09-16 |
| 1154754463 | Bryan Thorson | Social Worker | 9666 Olive Blvd, Suite 690, Olivette, MO 63132-3013 | 2013-08-11 |
| 1184924276 | Elodie Andrews | Social Worker | 9378 Olive Blvd, Ste 106, Olivette, MO 63132-3222 | 2010-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447701 | Constance Fulks | Social Worker | 1141 Wooden Dr, Florissant, MO 63033-5954 | 2020-11-03 |
| 1447850870 | Convergence Counseling Services, LLC | Social Worker | 7612 E 113th St, Kansas City, MO 64134-2946 | 2020-10-26 |
| 1336748599 | Meghan Lyn Mallams | Social Worker | 28 Westwoods Dr Ste 107, Liberty, MO 64068-3520 | 2020-10-20 |
| 1639777154 | Keisa D. Baker | Social Worker | 7716 Arlington Ave, Raytown, MO 64138-1654 | 2020-10-16 |
| 1811595697 | Sarah Nicole Bailey | Social Worker | 27759 Rock Ave, Bell City, MO 63735-8111 | 2020-10-13 |
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1184221368 | Deborah L Tannenbaum, Lcsw, LLC | Social Worker | 3000 Arrow Rock Dr, Saint Charles, MO 63303-6502 | 2020-10-01 |
| 1407463706 | Allison Nichole Kemble | Social Worker | 806 Shawn Ct, Centralia, MO 65240-4320 | 2020-09-30 |
| 1336756949 | Megan Krystal Draper | Social Worker | 8425 Locust St, Kansas City, MO 64131-2223 | 2020-09-28 |
| 1730796541 | Angelita Pritchett | Social Worker | 908 Glencoe, Park Hills, MO 63601-1931 | 2020-09-25 |
| 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.