Organization · Type 2 NPI

Magellan Provider Services, P.a.

Clinical Social Worker · Maryland Heights, MO

NPI number 1255099545 Active

Practice location

13500 Riverport Drive, Ste 110
Maryland Heights, MO 63043

Fax (888) 656-0874

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1255099545

Magellan Provider Services, P.a.'s National Provider Identifier is 1255099545, issued on Dec 3, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maryland Heights, MO. The record was last updated on Oct 29, 2026.