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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAGELLAN PROVIDER SERVICES, P.A.
NPI 1255099545
Social Worker - Clinical in Maryland Heights, MO

Active since December 03, 2021
13500 RIVERPORT DRIVE, STE 110, MARYLAND HEIGHTS, MO 63043(833) 605-0634(888) 656-0874 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 29, 2026, Dec 3, 2021 (2 updates tracked since 2021).

About Magellan Provider Services, P.a. NPPES

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

MAGELLAN PROVIDER SERVICES, P.A. (NPI 1255099545) is a healthcare organization registered as a clinical in Maryland Heights, Missouri and active in the NPI registry since December 2021. The organization lists Kandie Hansen, Clinical Care Manager, as its authorized official.

NPPES Registry Identity

NPI1255099545
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMAGELLAN PROVIDER SERVICES, P.A.
Location Address13500 RIVERPORT DRIVE, STE 110Maryland Heights, MO 63043
Mailing Address13500 Riverport Drive, Ste 110Maryland Heights, MO 63043 · (833) 605-0634 · Fax (888) 656-0874
Phone(833) 605-0634
Fax(888) 656-0874
Organization SubpartNo
Authorized OfficialKandie HansenClinical Care Manager · (314) 387-4562
Enumeration DateDecember 3, 2021
Last NPPES UpdateOctober 29, 20262 updates tracked since enumeration
NPPES CertifiedDecember 3, 2021
✔ NPI 1255099545 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.
13500 RIVERPORT DRIVE, Maryland Heights, MO 63043
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

SCOTT RIOPEL
Case Manager/Care Coordinator
13500 RIVERPORT DRIVE
MARYLAND HEIGHTS, MO 63043
St. Louis County (314) 988-1030

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 Magellan Provider Services, P.A.'s NPI number?

The NPI number for Magellan Provider Services, P.A. is 1255099545. It was assigned to this organization in the NPPES registry on December 3, 2021.

Where is Magellan Provider Services, P.A. located?

Magellan Provider Services, P.A. is located at 13500 Riverport Drive Ste 110, Maryland Heights, MO 63043. The listed phone number is (833) 605-0634.

What is Magellan Provider Services, P.A.'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 Magellan Provider Services, P.A. was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.