EBONY THERAPY LLC
NPI 1679173108
Social Worker - Clinical in Bridgeton, MO
NPI Status: Active since October 26, 2020
Contact Information
3751 PENNRIDGE DR STE 119
BRIDGETON, MO
ZIP 63044
Phone: (314) 791-2606
- Organization
- Social Worker
- Clinical
- Accepts Insurance
About EBONY THERAPY LLC
This page provides the complete NPI Profile along with additional information for Ebony Therapy Llc, a provider established in Bridgeton, Missouri operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1679173108 assigned on October 2020. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Clara Genine Edwards Cpc (Official Delegate)
- NPI
- 1679173108
- Provider Name
- EBONY THERAPY LLC
- Entity Type
- Organization
- Location Address
- 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044
- Location Phone
- (314) 791-2606
- Mailing Address
- 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044
- Mailing Phone
- (314) 443-7776
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-26-2020
- Last Update Date
- 11-17-2020
- Code Navigator
A clinical social worker like Ebony Therapy Llc is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 7 | 9 | 1 | 7 | 3 | 1 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 2 | 7 | 6 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 2 + 7 + 6 + 1 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1679173108 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831733112 | ALECIA WATTS MSW, LMSW Individual | Social Worker | 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044 (314) 374-9575 |
| 1477184075 | MS. MERCEDES WILBURN LPC Individual | Counselor (Professional) | 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044 (636) 336-6874 |
| 1679750798 | MRS. KANDY M SMITH LPC Individual | Counselor (Professional) | 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044 (341) 739-4515 |
| 1275132771 | AMBER WILSON PLPC Individual | Counselor (Professional) | 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044 (314) 443-7776 |
| 1972105211 | DIANA GREGORY LMSW Individual | Social Worker (Clinical) | 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044 (314) 443-7776 |
| 1679248017 | KARA GOSS LMSW Individual | Social Worker | 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044 (314) 443-7776 |
| 1962773986 | COURTNEY R GRADY Individual | Counselor | 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044 (314) 443-7776 |
| 1942944178 | JASMA MORRIS PLPC Individual | Counselor (Mental Health) | 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044 (314) 442-8118 |
| 1386379063 | TARA TRIPLETT LMSW Individual | Social Worker | 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044 (314) 239-2728 |
| 1396469888 | SEVEN COUNSELING AND COACHING LLC Organization | Counselor (Professional) | 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044 (314) 302-7284 |
| 1528775970 | JESSICA CHANEL HUGHES Individual | Counselor (Mental Health) | 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044 (314) 312-2551 |
| 1730873027 | KAYLA LUCAS LMSW Individual | Social Worker | 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044 (314) 239-2728 |
| 1679355200 | ANTOINE ALLEN II PLPC Individual | Counselor (Professional) | 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044 (314) 239-2728 |
| 1316397110 | STACIE GORDEN Individual | Counselor (Mental Health) | 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044 (314) 744-9276 |
| 1568001113 | OF A SOUND MIND COUNSELING LLC Organization | Counselor (Mental Health) | 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044 (314) 744-9276 |
| 1770333262 | JESSICA HUTCHINSON LMSW Individual | Social Worker | 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044 (314) 239-2728 |
| 1962244566 | AUBREY HILL PLPC Individual | Counselor | 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044 (314) 239-2728 |
| 1952901688 | COMMUNITY REACH Organization | Counselor (Mental Health) | 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044 (314) 443-7776 |
| 1568289361 | SALLY TERRANOVA LMSW Individual | Social Worker | 3751 PENNRIDGE DR STE 119 BRIDGETON, MO 63044 (314) 239-2728 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679173108, enumerated in the NPI registry as an "organization" on October 26, 2020
The provider is located at 3751 Pennridge Dr Ste 119 Bridgeton, Mo 63044 and the phone number is (314) 791-2606
This medical organization specializes in Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 26, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.