Individual provider · Type 1 NPI

Adam Ketcherside, LMSW

Clinical Social Worker · St. Louis, MO

NPI number 1467851824 Active

Practice location

10024 Office Center Ave Ste 100
St. Louis, MO 63128-1392

Call (314) 729-7050 Map

Fax (314) 729-0920

Mailing address

900 E Laharpe St
Kirksville, MO 63501-4520

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2014007562 (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 1467851824

Adam Ketcherside, LMSW's National Provider Identifier is 1467851824, issued on Aug 21, 2014. 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 Aug 21, 2014.