MS. MELINDA SUE KAVANAUGH


Address: 517 S Euclid Ave, Saint Louis, MO 63110-1007
Phone: 3143626908

MS. MELINDA SUE KAVANAUGH (NPI# 1871510404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871510404
Entity Type Individual
Full Name MS. MELINDA SUE KAVANAUGH
Credential LCSW
Practice Address 517 S Euclid Ave
Saint Louis
MO 63110-1007
Mailing Address Po Box 8221
7425 Forsyth
Saint Louis
MO 63156-8221
Practice Telephone 3143626908
Practice Fax Number 3147473258
Mailing Telephone 3149350770
Mailing Fax Number 3149350575
Enumeration Date 2006-07-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 2005003884 MO Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO-BLUE SHIELD 197032 01

Office Location

Street Address 517 S EUCLID AVE
City SAINT LOUIS
State MO
Zip Code 63110-1007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871596890 Robert M Feibel Ophthalmology 517 S Euclid Ave, Saint Louis, MO 63110-1007 2005-05-23
1053856963 Tiffany Christina Ho Ophthalmology 517 S Euclid Ave, 1st Fl, Dept Opthalmology, Saint Louis, MO 63110-1007 2016-12-31
1578914974 Alexander Steven Barsam Ophthalmology 517 S Euclid Ave, 1st Fl, Dept Opthalmology, Saint Louis, MO 63110-1007 2016-06-27
1093165490 Maxwell William Dixon Ophthalmology 517 S Euclid Ave, 1st Fl, Dept Opthalmology, Saint Louis, MO 63110-1007 2016-06-16
1518314350 Eric Landis Sollenberger Ophthalmology 517 S Euclid Ave, 1st Fl, Dept Opthalmology, Saint Louis, MO 63110-1007 2016-05-23
1972957975 Kishan Girish Patel Ophthalmology 517 S Euclid Ave, 1st Fl, Dept Opthalmology, Saint Louis, MO 63110-1007 2016-04-16
1497119093 Khin Pyaesone Kilgore Ophthalmology 517 S Euclid Ave, 1st Fl, Dept Opthalmology, Saint Louis, MO 63110-1007 2016-04-09
1639533722 Jason Nicholas Papas Ophthalmology 517 S Euclid Ave, 1st Fl, Dept Opthalmology, Saint Louis, MO 63110-1007 2016-04-05
1427439298 Bliss Elizabeth O'bryhim Ophthalmology 517 S Euclid Ave, Saint Louis, MO 63110-1007 2015-06-17
1093101974 James Chang Liu Ophthalmology 517 S Euclid Ave, Saint Louis, MO 63110-1007 2015-04-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659971992 Carrie Ellen Smith Nurse Practitioner Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 2020-10-27
1881210466 Michelle Amanda Freilich Internal Medicine Barnes-jewish Plaza, St. Louis, MO 63110 2020-06-19
1245856046 Jeevin Shahi Radiology 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 2020-06-18
1497371314 Wilson Eduardo Rodriguez Student in an Organized Health Care Education/Training Program 1008 S. Spring, St Louis, MO 63110 2020-06-17
1578184065 Kathryn Kay Lindsay Registered Nurse Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 2020-05-06
1881232700 Ashley Diane Pace Nurse Practitioner 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 2019-12-11
1619520418 Krithika Damodar Shenoy Pathology 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 2019-07-20
1467912550 Ian Ferguson Dermatology 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 2019-03-23
1760978688 Ihab Hassanieh Student in an Organized Health Care Education/Training Program 33660 Vista Ave, St. Louis, MO 63110 2018-07-03
1336634500 Martin K Mwangi Pediatrics 1 Childrens Place, 3s34, St. Louis, M, MO 63110 2018-06-28
Find all providers in zip 63110

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City SAINT LOUIS
Zip Code 63110

Improve Information

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Dataset Information

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.

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