Individual provider · Type 1 NPI

Nicholas Gerard Pantages

Clinical Social Worker · St. Louis, MO

NPI number 1891222170 Active

Practice location

1430 Olive St Ste 400
St. Louis, MO 63103-2303

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X2016030932 (MO)
Clinical Social Worker Primary 1041C0700X2019013326 (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 1891222170

Nicholas Gerard Pantages's National Provider Identifier is 1891222170, issued on May 17, 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 Aug 1, 2023.