Individual provider · Type 1 NPI
Genevieve Anne Distasio
Clinical Social Worker · St. Louis, MO
Practice location
5367 Pershing Ave Apt 4
St. Louis, MO 63112-1785
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.002027 (IL) |
| Clinical Social Worker Primary | 1041C0700X | 004717 |
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 1407708340
Genevieve Anne Distasio's National Provider Identifier is 1407708340, issued on Feb 12, 2026. 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 Feb 12, 2026.