PHYNE KIERRA ANN PETTIS
NPI 1104704048
Social Worker - Clinical in Saint Louis, MO

Active since August 26, 2025
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139(314) 206-3700 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phyne Kierra Ann Pettis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYNE KIERRA ANN PETTIS (NPI 1104704048) is an individual clinical provider in Saint Louis, Missouri and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1104704048
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePHYNE KIERRA ANN PETTIS
Location Address3309 S KINGSHIGHWAY BLVDSaint Louis, MO 63139-1101
Mailing Address3309 S Kingshighway BlvdSaint Louis, MO 63139-1101 · (314) 206-3700 · Fax (314) 206-3708
Sole ProprietorNo
Enumeration DateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
NPI 1104704048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
3309 S KINGSHIGHWAY BLVD, Saint Louis, MO 63139

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
Case Manager/Care Coordinator
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
Technician (Personal Care Attendant)
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
Counselor (Professional)
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
Social Worker
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
Pharmacy (Clinic Pharmacy)
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
Social Worker (Clinical)
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
Social Worker (Clinical)
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyne Pettis's NPI number?

The NPI number for Phyne Pettis is 1104704048. It was assigned to this individual provider in the NPPES registry on August 26, 2025.

Where is Phyne Pettis located?

Phyne Pettis practices at 3309 S Kingshighway Blvd, Saint Louis, MO 63139. The listed phone number is (314) 206-3700.

What is Phyne Pettis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Phyne Pettis was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.