SHAYNA WARNER (LCSW) – Clinical Social Worker, NPI 1053936302

SHAYNA WARNER (LCSW) is a healthcare provider. based in Saint louis, Missouri. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 2020000398 (MO). The NPI Number for SHAYNA WARNER (LCSW) is 1053936302

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
SHAYNA WARNER (LCSW)
NPI
1053936302
Phone
(314) 878-4340
Address
12141 LADUE RD
Enumeration Date
12 June 2020
Last Update Date
12 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3149252634
Graduation Year
2005 (21 years ago)
PAC ID
3678997897
Group Practice PAC ID
9133524788
Professional Enrollment ID
I20200721003450
Address ID
MO631051907CL230XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,245 CLINICAL SOCIAL WORKER in MO

Provider Addresses for SHAYNA WARNER (LCSW)

  • 12141 LADUE RD

    SAINT LOUIS, MO 631418120

    Phone: (314) 878-4340

    Fax: (314) 878-4524

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-07-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200721003450IClinical Social WorkerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63141)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133524788View full group profile
NameSpecialtyState
Clinical Social WorkerMO
Mental Health CounselorMO
Mental Health CounselorMO
Mental Health CounselorMO
Mental Health CounselorMO
Clinical Social WorkerMO
Mental Health CounselorMO
Mental Health CounselorMO
Mental Health CounselorMO

Reviews

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Frequently asked questions

How is SHAYNA WARNER (LCSW) identified in CMS data?
CMS-hosted NPPES data lists SHAYNA WARNER (LCSW) with NPI 1053936302.
Can I rely on SHAYNA WARNER (LCSW) being an active provider?
As of the registry snapshot, SHAYNA WARNER (LCSW) is marked active.
What taxonomy line describes SHAYNA WARNER (LCSW)?
For research purposes, treat SHAYNA WARNER (LCSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
What area does SHAYNA WARNER (LCSW) serve?
SHAYNA WARNER (LCSW)'s listing highlights Saint Louis, Missouri; more addresses can appear in NPPES.
Is the information about SHAYNA WARNER (LCSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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