Organization · Type 2 NPI

Life Well Balanced LLC

Clinical Social Worker · O Fallon, MO

NPI number 1265939672 Active

Practice location

103 Lincoln St
O Fallon, MO 63366-1603

Call (636) 443-3704 Map

Fax (636) 294-0530

Mailing address

30 Oak Valley Dr
St. Peters, MO 63376-3721

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2013045632 (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 1265939672

Life Well Balanced LLC's National Provider Identifier is 1265939672, issued on Apr 11, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in O Fallon, MO. The record was last updated on Apr 11, 2018.