Individual provider · Type 1 NPI

Constance Dietrick, LCSW

Clinical Social Worker · St. Louis, MO

NPI number 1649838020 Active

Practice location

4455 Duncan Ave
St. Louis, MO 63110-1111

Call (314) 286-1940 Map

Fax (314) 286-1473

Mailing address

4444 Forest Park Ave Ste 1210
St. Louis, MO 63108-2212

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X004752 (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 1649838020

Constance Dietrick, LCSW's National Provider Identifier is 1649838020, issued on May 31, 2019. 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 May 31, 2019.