1164715306 NPI number — MS. BARBARA LYNN DEVOS-SCHOENIG L.C.S.W.

Table of content: MS. BARBARA LYNN DEVOS-SCHOENIG L.C.S.W. (NPI 1164715306)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164715306 NPI number — MS. BARBARA LYNN DEVOS-SCHOENIG L.C.S.W.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DEVOS-SCHOENIG
Provider First Name:
BARBARA
Provider Middle Name:
LYNN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
L.C.S.W.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164715306
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/27/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4219 LACLEDE AVE
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
SAINT LOUIS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63108-2814
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-286-4545
Provider Business Mailing Address Fax Number:
314-286-4542

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4219 LACLEDE AVE
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
SAINT LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63108-2814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-286-4545
Provider Business Practice Location Address Fax Number:
314-286-4542
Provider Enumeration Date:
05/20/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  2003019609 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2003019609 . This is a "DIVISION OF PROFESSIONAL REGISTRATION, STATE COMMITTEE FOR SOCIAL WORKERS, LCSW" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".




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