EPWORTH CHILDREN & FAMILY SERVICES (NPI# 1255488623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255488623 |
| Entity Type | Organization |
| Organization Name | EPWORTH CHILDREN & FAMILY SERVICES |
| Practice Address |
110 N Elm Ave Saint Louis MO 63119-2418 |
| Practice Telephone | 3149615718 |
| Practice Fax Number | 3149613503 |
| Mailing Telephone | 3149615718 |
| Mailing Fax Number | 3149613503 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KEVIN DROLLINGER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3149183308 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MO | Residential Treatment Facilities |
| Street Address |
110 N ELM AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63119-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619312519 | Pamela Gay Allen | Counselor | 110 N Elm Ave, Saint Louis, MO 63119-2418 | 2013-05-06 |
| 1538471370 | Iain Douglas Burguet | Counselor | 110 N Elm Ave, Saint Louis, MO 63119-2418 | 2010-07-09 |
| 1629196951 | Betty Andres | Counselor | 110 N Elm Ave, Saint Louis, MO 63119-2418 | 2007-03-26 |
| 1740304864 | Susan Lindner Mcdowell | Social Worker | 110 N Elm Ave, Saint Louis, MO 63119-2418 | 2007-03-16 |
| 1720112253 | Joanne Herzberg | Social Worker | 110 N Elm Ave, Saint Louis, MO 63119-2418 | 2007-03-15 |
| 1518090869 | Susan Walsh | Counselor | 110 N Elm Ave, Saint Louis, MO 63119-2418 | 2007-03-14 |
| 1861522740 | Jennifer Mcelrath | Counselor | 110 N Elm Ave, Saint Louis, MO 63119-2418 | 2007-03-07 |
| 1659400448 | Sharon D Carter | Counselor | 110 N Elm Ave, Saint Louis, MO 63119-2418 | 2007-03-05 |
| 1871635177 | Shaelene Renee Plank | Counselor | 110 N Elm Ave, Saint Louis, MO 63119-2418 | 2007-02-13 |
| 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 | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659558054 | General Assembly of The Christian Church Disciples of Christ St. Louis | Residential Treatment Facility, Emotionally Disturbed Children | 3033 N Euclid Ave, Saint Louis, MO 63115-1632 | 2008-01-28 |
| 1093881252 | Good Shepherd Children and Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 1340 Partridge Ave, Saint Louis, MO 63130-1943 | 2006-11-28 |
| 1790879617 | Presbyterian Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 1353 N Warson Rd, Saint Louis, MO 63132-1807 | 2006-10-03 |
| 1679578413 | Child Center of Our Lady | Residential Treatment Facility, Emotionally Disturbed Children | 7900 Natural Bridge Rd, Saint Louis, MO 63121-4628 | 2005-06-17 |
| 1578098489 | St. Vincent Home for Children | Residential Treatment Facility, Emotionally Disturbed Children | 7401 Florissant Rd, Saint Louis, MO 63121-4835 | 2017-04-28 |
| 1225388465 | Great Circle- Edgewood Children's Center | Residential Treatment Facility, Emotionally Disturbed Children | 330 N Gore Ave, Saint Louis, MO 63119-1600 | 2012-09-14 |
| 1801109343 | Children's Foundation of Mid America | Residential Treatment Facility, Emotionally Disturbed Children | 1353 N Warson Rd, Saint Louis, MO 63132-1807 | 2010-07-26 |
| 1467781393 | Covenant House Missouri | Residential Treatment Facility, Emotionally Disturbed Children | 2727 N Kingshighway Blvd, Saint Louis, MO 63113-1006 | 2009-12-24 |
| 1780846451 | Susie Dietz Mcgaughey | Residential Treatment Facility, Emotionally Disturbed Children | 330 N Gore Ave, Saint Louis, MO 63119-1600 | 2008-06-25 |
| 1104093681 | German St. Vincent Orphan Association | Residential Treatment Facility, Emotionally Disturbed Children | 7401 Florissant Rd, Saint Louis, MO 63121-4835 | 2008-05-13 |
| 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.