TINA VILLALOBOS, MSW, LCSW, LLC (NPI# 1508410242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508410242 |
| Entity Type | Organization |
| Organization Name | TINA VILLALOBOS, MSW, LCSW, LLC |
| Practice Address |
8000 Bonhomme Ave Ste 102 Clayton MO 63105-3515 |
| Mailing Address |
3923 Juniata St Saint Louis MO 63116-3911 |
| Practice Telephone | 3143295140 |
| Mailing Telephone | 3143634885 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Authorized Official Name | TINA VILLALOBOS (SOCIAL WORKER) |
| Authorized Official Telephone | 3143634885 |
| Authorized Official Credential | MSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
8000 BONHOMME AVE STE 102 |
| City | CLAYTON |
| State | MO |
| Zip Code | 63105-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154723021 | Olivia Harman Carosello | Social Worker | 8000 Bonhomme Ave Ste 102, Clayton, MO 63105-3515 | 2014-09-22 |
| 1306495247 | Carosello Psychotherapy, LLC | Clinic/Center | 8000 Bonhomme Ave Ste 102, Clayton, MO 63105-3515 | 2019-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016545 | Amy Piontek | Registered Nurse | Habif Health and Wellness Center, 6643 Shepley Drive, St. Louis, MO 63105 | 2020-05-29 |
| 1427520634 | Justin Kelly | Chiropractor | 8011 Maryland Avenue, St. Louis, MO 63105 | 2018-12-28 |
| 1720576663 | St. Louis Center for Cognitive Health, LLC | Clinic/Center | 7711 Bonhomme Ave Ste 350, Clayton, MO 63105 | 2018-04-26 |
| 1457849317 | A Storied Life Counseling LLC | Social Worker | 8000 Bonhomme Ave Ste 321, Clayton, MO 63105 | 2018-04-26 |
| 1669984142 | Peter Bogart | Counselor | 7710 Carondelet, Suite #204, Saint Louis, MO 63105 | 2017-10-24 |
| 1356891162 | Medical West Respiratory Pharmacy, LLC | Pharmacy | 440 South Brentwood Blvd, Clayton, MO 63105 | 2016-10-05 |
| 1710435565 | James Breihan | Occupational Therapist | 401 Corporate Park Drive, Clayton, MO 63105 | 2016-09-21 |
| 1730566928 | Frank Theus | Counselor | 7710 Carondelet Ave Ste 220, Saint Louis, MO 63105 | 2015-04-27 |
| 1962895896 | John B Martin | Obstetrics & Gynecology | 312 N. Meramec #300, St. Louis, MO 63105 | 2015-03-17 |
| 1861814261 | Jesse Marie Civello | Physical Therapist | 222 S Meramec Avenue, Suite 100, Clayton, MO 63105 | 2014-01-20 |
| Find all providers in zip 63105 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700340163 | Cbs | Community/Behavioral Health | 11 Mt Lee Pl, Clayton, CA 94517-1538 | 2019-01-29 |
| 1336642107 | One Heart Therapy Pllc | Community/Behavioral Health | 505 E Main St Ste 204, Clayton, NC 27520-2621 | 2018-03-17 |
| 1689112567 | Aci Support Specialists | Community/Behavioral Health | 59 Shad Boat Ln, Clayton, NC 27520-7379 | 2017-02-10 |
| 1306222344 | Jak Counseling Services | Community/Behavioral Health | 107 Home Trace Cir, Clayton, NC 27520-7848 | 2015-07-31 |
| 1992138457 | Q1 Clinical Consultants,llc | Community/Behavioral Health | 1065 Lee Rd, Clayton, NC 27520-7086 | 2013-08-19 |
| 1225476369 | Alpha Management Services, Inc. | Community/Behavioral Health | 43 Valleyfield Dr, Clayton, NC 27527-4238 | 2013-06-11 |
| 1396004602 | The Enhancement Center, Inc. | Community/Behavioral Health | 896 Gulley Dr, Clayton, NC 27520-2189 | 2012-05-07 |
| 1659653053 | Cb Recovery Associates, LLC | Community/Behavioral Health | 21 Anna Dr., Suites 105 & 106, Clayton, NC 27520 | 2011-09-13 |
| 1811220106 | Developing Solutions, LLC | Community/Behavioral Health | 160 Powhatan Rd, Clayton, NC 27527-6090 | 2009-09-17 |
| 1790918167 | Robinson Counseling Resources | Community/Behavioral Health | 340 Smith St, Suite 2, Clayton, GA 30525-4261 | 2009-09-01 |
| Find all providers in CLAYTON | ||||
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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.