Ebony Therapy LLC
NPI 1679173108 · Clinical Social Worker · Bridgeton, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ebony Therapy LLC is a Clinical Social Worker organization in Bridgeton, MO (NPI 1679173108).
Provider details
- NPI number
- 1679173108
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Clara Edwards, Official Delegate(314) 791-2606
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2020-10-26
- Last updated
- 2020-11-17
- Certified
- 2020-11-17
Frequently asked questions
- What is Ebony Therapy LLC's NPI number?
- Ebony Therapy LLC's National Provider Identifier (NPI) is 1679173108, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ebony Therapy LLC?
- Ebony Therapy LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Ebony Therapy LLC located?
- Ebony Therapy LLC's practice location on file with NPPES is 3751 Pennridge Dr Ste 119, Bridgeton, MO 63044-1244.
- What is Ebony Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Ebony Therapy LLC is (314) 791-2606.
- Does Ebony Therapy LLC accept Medicare?
- Ebony Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ebony Therapy LLC?
- The authorized official listed on Ebony Therapy LLC's NPPES record is Clara Edwards, Official Delegate. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ebony Therapy LLC's NPI active?
- Yes — Ebony Therapy LLC's NPI (1679173108) is active in the NPPES registry as of the last update on 2020-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.