Individual provider · Type 1 NPI

Jama Gay Anthony-Petter, L.C.S.W.

Clinical Social Worker · St. Louis, MO

NPI number 1265637243 Active

Practice location

11222 Tesson Ferry Rd, Suite 200
St. Louis, MO 63123-6963

Fax (314) 822-7562

Mailing address

859 Sherilin Dr
Kirkwood, MO 63122-2324

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW001334 (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 1265637243

Jama Gay Anthony-Petter, L.C.S.W.'s National Provider Identifier is 1265637243, issued on Jun 19, 2007. 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 Jul 8, 2007.