MR. DERRICK SKINNER SR.


Address: 12647 Olive Blvd, Ste 600, Saint Louis, MO 63141-6393
Phone: 8003253982

MR. DERRICK SKINNER SR. (NPI# 1992034672) 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) 1992034672
Entity Type Individual
Full Name MR. DERRICK SKINNER SR.
Credential LCSW
Practice Address 12647 Olive Blvd
Ste 600
Saint Louis
MO 63141-6393
Practice Telephone 8003253982
Practice Fax Number 8776859880
Mailing Telephone 8003253982
Mailing Fax Number 8776859880
Enumeration Date 2009-12-09
Last Update Date 2009-12-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1041C0700X Social Worker
Specialization: Clinical
1041 NE Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
2406 NE Behavioral Health & Social Service Providers

Other Providers DERRICK SKINNER

NPI Name Taxonomy Address Enumeration
1003219387 Derrick Skinner Iv Psychologist 441 E Market St, Celina, OH 45822-1736 2014-10-01

Office Location

Street Address 12647 OLIVE BLVD
STE 600
City SAINT LOUIS
State MO
Zip Code 63141-6393

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972506673 Paul F. Howard Internal Medicine 12647 Olive Blvd, Ste 600, Saint Louis, MO 63141-6345 2005-05-27
1548734353 Apiphanie Lujan Counselor 12647 Olive Blvd, Saint Louis, MO 63141-6393 2019-01-15
1881115624 Trenise Lynette Brown Social Worker 12647 Olive Blvd, Saint Louis, MO 63141-6393 2017-07-01
1336676006 Amanda Brown Kidwell Counselor 12647 Olive Blvd, Ste 200, Saint Louis, MO 63141-6393 2017-05-12
1346776291 Jessica Brown Counselor 12647 Olive Blvd, Saint Louis, MO 63141-6393 2017-05-11
1356877195 Anne Tichacek Social Worker 12647 Olive Blvd, Saint Louis, MO 63141-6393 2017-05-11
1689100901 Jenny Deutsch Social Worker 12647 Olive Blvd, Suite 200, Saint Louis, MO 63141-6393 2017-05-05
1932635299 Qiyun Gao Social Worker 12647 Olive Blvd, Suite 200, Saint Louis, MO 63141-6393 2017-05-05
1831625169 Lisa M Flamion Counselor 12647 Olive Blvd, Suite 200, Saint Louis, MO 63141-6393 2017-05-05
1396271664 Jennifer L. Brown Social Worker 12647 Olive Blvd, Suite 200, Saint Louis, MO 63141-6393 2017-05-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679102842 Noor Ramadan Pharmacist 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 2020-04-08
1497381206 Washington University Durable Medical Equipment & Medical Supplies 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 2020-03-13
1154956498 Ashleigh Clendenny Physician Assistant Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 2020-03-06
1801429410 Emili Lou Haley Registered Nurse 650 Maryville Drive, St Louis, MO 63141 2020-02-21
1629553110 Rebecca Kathleen Pike Social Worker West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 2018-10-01
1649756099 River City Sedation Associates, LLC Nurse Anesthetist, Certified Registered 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 2018-07-18
1205333952 Ear Care and Hearing of St. Louis Hearing Aid Equipment 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 2018-04-10
1659897486 Erin Goodman Physical Therapist 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 2017-08-14
1093230450 Center for Urologic Surgery LLC Clinic/Center 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 2017-08-07
1871016105 Jacob Farley Tanner Specialist/Technologist 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 2017-07-19
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760097182 Laura Ranalletta Social Worker 877 Queen Anne Pl, Saint Louis, MO 63122-3143 2020-09-11
1861007502 Helene Foster Platke Social Worker 11681 Summerhaven Dr, Saint Louis, MO 63146-5441 2020-09-10
1063027811 Elizabeth Stonefield Social Worker 8188 Middlevalley Trl, Saint Louis, MO 63123-2415 2020-09-09
1770195729 Kyla Hadenfeldt Social Worker 4562a Loughborough Ave, Saint Louis, MO 63116-1131 2020-08-20
1093327587 Lori B Goldenberg Social Worker 3 Winfield Pointe Ln, Saint Louis, MO 63141-7710 2020-08-18
1831701473 Michael David Galvin Social Worker 3425 Humphrey St, Saint Louis, MO 63118-2720 2020-08-17
1265043376 Matt Fanning Social Worker 9378 Olive Blvd Ste 205, Saint Louis, MO 63132-3223 2020-08-12
1235748765 Celia Rose Mcmanus Social Worker 10004 Kennerly Rd Ste 280b, Saint Louis, MO 63128-2177 2020-07-30
1841809019 Danielle Denise Collins Social Worker 12360 Creek Run Dr Apt M, Saint Louis, MO 63141-6579 2020-07-23
1730797176 Jill Louise Medintz Social Worker 130 S Bemiston Ave Ste 704a, Saint Louis, MO 63105-1913 2020-07-22
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Competitor

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City SAINT LOUIS
Zip Code 63141

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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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