What is Deangelo Mardis's NPI number?

Deangelo Mardis's National Provider Identifier (NPI) is 1104687219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Deangelo Mardis's specialty?

Deangelo Mardis is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Deangelo Mardis located?

Deangelo Mardis's practice location on file with NPPES is 3309 S Kingshighway Blvd, Saint Louis, MO 63139-1101.

What is Deangelo Mardis's phone number?

The practice phone number listed in the NPPES registry for Deangelo Mardis is (314) 206-3700.

Is Deangelo Mardis's NPI active?

Yes — Deangelo Mardis's NPI (1104687219) is active in the NPPES registry as of the last update on 2024-01-17.

IndividualActive

Deangelo Mardis

NPI 1104687219 · Clinical Social Worker · Saint Louis, MO

Deangelo Mardis is a Clinical Social Worker provider in Saint Louis, MO (NPI 1104687219).

Provider details

NPI number: 1104687219
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700X
Behavioral Health & Social Service Providers

Profile Score

Established profile(51/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3309 S Kingshighway Blvd

Saint Louis, MO 63139-1101

Phone: (314) 206-3700

Street-level locationGet directions

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Mailing address