Lisa Kedro, LMSW
Social Worker in Saint Louis, MO. Individual provider (NPI-1).
NPI number1154850006
StatusActive
Last updated in NPPESJun 5, 2017
Details
- NPI
- 1154850006
- Entity type
- Individual (NPI-1)
- Name
- Lisa Kedro
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2017
- Last updated
- Jun 5, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 2016018174 | MO | Yes |
Practice location
4130 Lindell BlvdSaint Louis, MO 63108-2914
Phone 314-329-8891
Mailing address
4130 Lindell BlvdSaint Louis, MO 63108-2914
Phone 314-535-5600
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 571 Social Worker providers in Saint Louis · All 34,755 providers in Saint Louis
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