MEDICARE: COURTNEY EVERSON M.S.W. LCSW RPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	2008037049	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11977937	OTHER	MO	CAQH

General Provider Information

NPI Number	:	1710128822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY EVERSON M.S.W. LCSW RPT

Provider Business Mailing Address
First Line	:	2500 S BRENTWOOD BLVD STE 211
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63144-2309
Country	:	US
Telephone Number	:	314-266-8545
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 S BRENTWOOD BLVD STE 211
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63144-2309
Country	:	US
Telephone Number	:	314-266-8545
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2009
Last Update Date	:	01/25/2017

Similar Medicare Providers

1336122266 — BRENTWOOD PHYSICAL THERAPY LIMITED
Practice Location Address:

2558 S BRENTWOOD BLVD
SAINT LOUIS, MO
63144-2309

Practice Phone: 314-961-8940
Practice Fax: 314-961-8969

1194755058 — SELIGA SHOE STORES INC
Practice Location Address:

2530 S BRENTWOOD BLVD
SAINT LOUIS, MO
63144-2309

Practice Phone: 314-961-0110
Practice Fax: 314-961-0529

1558488528 — DR. BRIAN J HARASHA D.C.
Practice Location Address:

2558 S BRENTWOOD BLVD
SAINT LOUIS, MO
63144-2309

Practice Phone: 314-961-8940
Practice Fax:

1609307776 — CREATIVE WELLNESS, LLC
Practice Location Address:

2558 S BRENTWOOD BLVD
SAINT LOUIS, MO
63144-2309

Practice Phone: 314-961-8940
Practice Fax: 314-961-8969

1760971931 — ATTACHED TO HOME IHS LLC
Practice Location Address:

2542 S BRENTWOOD BLVD
SAINT LOUIS, MO
63144-2309

Practice Phone: 314-764-2021
Practice Fax: 314-764-2028

1780448944 — TODD ALLEN OLESON
Practice Location Address:

2558 S BRENTWOOD BLVD
SAINT LOUIS, MO
63144-2309

Practice Phone: 314-961-8940
Practice Fax: 314-961-8969

Directions to “ COURTNEY EVERSON M.S.W. LCSW RPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.