Individual provider · Type 1 NPI

Ebonee Monique Lyle, LCSW

Clinical Social Worker · St. Louis, MO

NPI number 1699025866 Active

Practice location

4444 Forest Park Ave, Ste 2600
St. Louis, MO 63108-2212

Call (314) 286-1700 Map

Fax (314) 286-1777

Mailing address

660 S Euclid Ave, Cb 8134
St. Louis, MO 63110-1010

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2010035826 (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 1699025866

Ebonee Monique Lyle, LCSW's National Provider Identifier is 1699025866, issued on Sep 14, 2012. 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 Jan 9, 2023.