Individual provider · Type 1 NPI

Jacqueline Lob, LCSW

Clinical Social Worker · St. Louis, MO

NPI number 1851772487 Active

Practice location

10420 Old Olive Street Road, Suite 205
St. Louis, MO 63141-5937

Fax (314) 692-9978

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2014032120 (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 1851772487

Jacqueline Lob, LCSW's National Provider Identifier is 1851772487, issued on Jun 9, 2015. 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 Jun 9, 2015.