FAMILY SUPPORT NETWORK (NPI# 1700911369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700911369 |
| Entity Type | Organization |
| Organization Name | FAMILY SUPPORT NETWORK |
| Practice Address |
7514 Big Bend Blvd Saint Louis MO 63119-2104 |
| Mailing Address |
570 Shackelford Rd Florissant MO 63031-5457 |
| Practice Telephone | 3146445055 |
| Practice Fax Number | 3146445057 |
| Mailing Telephone | 3148301796 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JUANITA WALLACE (FAMILY THERAPIST) |
| Authorized Official Telephone | 3146445055 |
| Authorized Official Credential | MA LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 2002006418 | MO | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669937504 | Family Support Network | Counselor | 1894 N Main St, Orange, CA 92865-4117 | 2019-02-05 |
| 1982118428 | Family Support Network | Counselor | 1002 10th Street West, Suite 1, Billings, MT 59102 | 2017-11-20 |
| 1922016146 | Family Support Network | Clinic/Center | 7514 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2006-08-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | FAMILY SUPPORT NETWORK, INC. | 2901 Spencer Road, Spencer, OK 73084 |
| Street Address |
7514 BIG BEND BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63119-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922016146 | Family Support Network | Clinic/Center | 7514 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2006-08-03 |
| 1144558354 | Tana Clardy | Counselor | 7514 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2009-11-27 |
| 1538220942 | Susan A. Didier | Social Worker | 7514 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2006-12-12 |
| 1891864229 | Kimberly Anne Mclaughlin | Counselor | 7514 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2006-11-07 |
| 1184701971 | Rebecca Leigh Floyd | Social Worker | 7514 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
| 1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
| 1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
| Find all providers in zip 63119 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386122497 | D&n Services Unlimited | Case Management | 1851 Arrowpoint Dr, Saint Louis, MO 63138-1515 | 2018-07-31 |
| 1952800427 | The Community Counseling & Housing Services | Case Management | 10069 Tappan Dr, Saint Louis, MO 63137-2049 | 2018-02-09 |
| 1508365198 | The Community Counseling & Housing Services | Case Management | 460 Shepley Dr, Saint Louis, MO 63137-4026 | 2018-02-08 |
| 1215436803 | The Community Counseling & Housing Services | Case Management | 4546 Ashland Ave, Saint Louis, MO 63115-2330 | 2018-02-08 |
| 1669825865 | P and N Wellness Group, LLC | Case Management | 113 Perthshire Rd, Saint Louis, MO 63137-3806 | 2016-07-22 |
| 1568828341 | Amerahealth Home Care, LLC | Case Management | 3211 Woodson Rd, Saint Louis, MO 63114-4716 | 2016-01-08 |
| 1093187171 | Victor J Whittier Sr LLC | Case Management | 1108 Cove Ln, Saint Louis, MO 63138-3047 | 2015-10-28 |
| 1467742122 | Living Life Long, LLC | Case Management | 303 Union Blvd, Suite 300, Saint Louis, MO 63108-4400 | 2011-04-14 |
| 1184938805 | Response Care Solutions Group LLC | Case Management | 3407 S Jefferson Ave, Saint Louis, MO 63118-3119 | 2010-08-05 |
| 1598999328 | Autonomous Case Management of St Louis | Case Management | 11906 Manchester Rd Ste 110, Saint Louis, MO 63131-4504 | 2009-05-07 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63119 |
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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.