MID-COUNTY PHYSICIANS INC. NPI 1184764904

NPI Information

  • NPI: 1184764904
  • Provider Name: MID-COUNTY PHYSICIANS, INC.
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 12166 OLD BIG BEND RD
    SUITE 100
    KIRKWOOD, MO
    ZIP 63122
  • Phone: (314) 909-0211

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NPI Details

MID-COUNTY PHYSICIANS, INC. is a clinical social worker in Kirkwood, MO. The provider is 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. MID-COUNTY PHYSICIANS, INC. NPI is 1184764904. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12166 OLD BIG BEND RD
SUITE 100
KIRKWOOD, MO
ZIP 63122-844
Phone: (314) 909-0211
Fax: (314) 909-0323

The provider's authorized official is David L Ohlms .
The authorized official title is President and has the following contact phone number (314) 909-0211.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessionalNo
4103TB0200XPsychologistCognitive & BehavioralNo
5103TC0700XPsychologistClinicalNo
6103TC1900XPsychologistCounselingNo
7103TC2200XPsychologistClinical Child & AdolescentNo
8103TF0000XPsychologistFamilyNo
9103T00000XPsychologistNo
102084A0401XPsychiatry & NeurologyAddiction MedicineNo
112084P0800XPsychiatry & NeurologyPsychiatryNo
122084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
132084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
142084P0805XPsychiatry & NeurologyGeriatric PsychiatryNo
151041C0700XSocial WorkerClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CP9113OTHERMISSOURIRR MEDICARE GROUP ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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