PERSONAL POTENTIALS, INC.
NPI 1336220524
Social Worker - Clinical in Saint Louis, MO

Active since October 17, 2006
10000 WATSON RD, STE. # 2L18, SAINT LOUIS, MO 63126(314) 822-4727(314) 822-0531 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Personal Potentials, Inc. NPPES

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

PERSONAL POTENTIALS, INC. (NPI 1336220524) is a healthcare organization registered as a clinical in Saint Louis, Missouri and active in the NPI registry since October 2006. The organization lists Joan Cassilly Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1336220524
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePERSONAL POTENTIALS, INC.
Location Address10000 WATSON RD, STE. # 2L18Saint Louis, MO 63126-1854
Mailing Address10000 Watson Rd, Ste. # 2l18Saint Louis, MO 63126-1854 · (314) 822-4727 · Fax (314) 822-0531
Fax(314) 822-0531
Organization SubpartNo
Authorized OfficialJoan Cassilly PetersenPresident · (314) 822-4727
Enumeration DateOctober 17, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1336220524 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.

10000 WATSON RD, Saint Louis, MO 63126

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Podiatrist
10000 WATSON RD, STE 2R
ST LOUIS, MO 63126
Dentist
10000 WATSON RD, STE D
SAINT LOUIS, MO 63126
Dentist (Oral and Maxillofacial Surgery)
10000 WATSON RD, SUITE A
SAINT LOUIS, MO 63126
Dentist (Oral and Maxillofacial Surgery)
10000 WATSON RD
ST LOUIS, MO 63126
Podiatrist
10000 WATSON RD, SUITE 1B
SAINT LOUIS, MO 63126
General Practice
10000 WATSON RD, 2L-24
SAINT LOUIS, MO 63126
Internal Medicine (Cardiovascular Disease)
10000 WATSON RD, STE 2-L-13
SAINT LOUIS, MO 63126
Podiatrist (Foot Surgery)
10000 WATSON RD, 2R
SAINT LOUIS, MO 63126

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336220524, enumerated as an "organization" on October 17, 2006.

The provider is located at 10000 WATSON RD STE. # 2L18 SAINT LOUIS, MO 63126 and the phone number is (314) 822-4727.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.