Individual provider · Type 1 NPI

Sophia C. Deters

School Social Worker · St. Louis, MO

NPI number 1336061696 Active

Practice location

12110 Clayton Rd
St. Louis, MO 63131-2599

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X2025020169 (MO)
School Social Worker Primary 1041S0200X2025020169 (MO)

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About NPI 1336061696

Sophia C. Deters's National Provider Identifier is 1336061696, issued on Jul 28, 2026. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in St. Louis, MO. The record was last updated on Jul 28, 2026.