Individual provider · Type 1 NPI

Susan Mary Self-Portwine, LCSW

Clinical Social Worker · House Springs, MO

NPI number 1407195753 Active

Practice location

7080 Rivermont Trl
House Springs, MO 63051-2081

Mailing address

1430 Olive St Ste 500
St. Louis, MO 63103-2377

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X005014 (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 1407195753

Susan Mary Self-Portwine, LCSW's National Provider Identifier is 1407195753, issued on Feb 6, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in House Springs, MO. The record was last updated on Apr 5, 2024.