Individual provider · Type 1 NPI

Marley Ann Herzog, ACSW, LCSW

Clinical Social Worker · St. Louis, MO

NPI number 1780895912 Active

Practice location

6220 S Lindbergh Blvd, Suite 201
St. Louis, MO 63123-7802

Fax (314) 741-4180

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW000267 (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 1780895912

Marley Ann Herzog, ACSW, LCSW's National Provider Identifier is 1780895912, issued on May 28, 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 Mar 5, 2014.