Individual provider · Type 1 NPI
Marianne Tettlebaum, LCSW
Clinical Social Worker · St. Louis, MO
Practice location
7400 Gayola Pl
St. Louis, MO 63143-2006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 2025017404 (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 1497633929
Marianne Tettlebaum, LCSW's National Provider Identifier is 1497633929, issued on Aug 22, 2025. 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 31, 2025.