Individual provider · Type 1 NPI

Andrea Nissenbaum

Clinical Social Worker · St. Louis, MO

NPI number 1861910754 Active

Practice location

1430 Olive St Ste 500
St. Louis, MO 63103-2377

Call (314) 453-9851 Map

Mailing address

4106 Olive St
St. Louis, MO 63108-3126

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2021008193 (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 1861910754

Andrea Nissenbaum's National Provider Identifier is 1861910754, issued on Aug 31, 2017. 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 Nov 28, 2022.