Individual provider · Type 1 NPI

Emory Madalyn Endicott, LCSW

Clinical Social Worker · St. Louis, MO

NPI number 1376276774 Active

Practice location

12141 Ladue Road
St. Louis, MO 63141

Fax (314) 993-2828

Mailing address

2650 Olive St
St. Louis, MO 63103-1489

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X2022020464 (MO)
Clinical Social Worker Primary 1041C0700X2024037830 (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 1376276774

Emory Madalyn Endicott, LCSW's National Provider Identifier is 1376276774, issued on Jul 5, 2022. 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 Sep 19, 2024.