Individual provider · Type 1 NPI

Jerry Breakstone, MSW, LCSW

Clinical Social Worker · St. Louis, MO

NPI number 1548313562 Active

Practice location

7396 Pershing Ave
St. Louis, MO 63130-4206

Call (314) 398-0453 Map

Mailing address

7220 Princeton Ave
St. Louis, MO 63130-3027

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X004868 (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 1548313562

Jerry Breakstone, MSW, LCSW's National Provider Identifier is 1548313562, issued on Jan 21, 2007. 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 Jul 8, 2007.