Individual provider · Type 1 NPI

Jan Brautigam, LCSW

Clinical Social Worker · St. Charles, MO

NPI number 1124116744 Active

Practice location

501 1st Capitol Dr, Suite 4
St. Charles, MO 63301-2768

Fax (636) 946-1516

Mailing address

16 Hickory Hill Dr
O Fallon, MO 63366-1948

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X001311 (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 1124116744

Jan Brautigam, LCSW's National Provider Identifier is 1124116744, issued on Oct 10, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Charles, MO. The record was last updated on Jul 8, 2007.