Provider Demographics
NPI:1578247227
Name:ENKE, PAIGE COURTNEY (MSW)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:COURTNEY
Last Name:ENKE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:COURTNEY
Other - Last Name:STEVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 WINDRUSH CT
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63366-1690
Mailing Address - Country:US
Mailing Address - Phone:636-288-8461
Mailing Address - Fax:
Practice Address - Street 1:1310 HRC PLAZA DR
Practice Address - Street 2:
Practice Address - City:LAKE ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63367-1869
Practice Address - Country:US
Practice Address - Phone:636-277-9890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-13
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical