Individual provider · Type 1 NPI

Keith Elliott Decker

Clinical Social Worker · St. Louis, MO

NPI number 1063979011 Active

Practice location

4249 Clayton Ave
St. Louis, MO 63110-1718

Mailing address

3309 S Kingshighway Blvd
St. Louis, MO 63139-1101

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2008005851 (MO)

Clinical Social Worker: 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 interpers…

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About NPI 1063979011

Keith Elliott Decker's National Provider Identifier is 1063979011, issued on Feb 26, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis, MO. The record was last updated on Jan 12, 2024.