MEDICARE: NICOLE LANDWEHR MSW, LCSW, REAT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	2017040184	MO

General Provider Information

NPI Number	:	1033654314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE LANDWEHR MSW, LCSW, REAT

Provider Business Mailing Address
First Line	:	3430 MCKELVEY ROAD
Second Line	:	STE L PMB 1322
City	:	BRIDGETON
State	:	MO
Zip	:	63044-1870
Country	:	US
Telephone Number	:	314-324-3835
Fax Number	:	314-552-7539

Provider Business Practice Location Address
First Line	:	7110 OAKLAND AVE
Second Line	:	SUITE 104
City	:	SAINT LOUIS
State	:	MO
Zip	:	63117-1868
Country	:	US
Telephone Number	:	314-324-3835
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2016
Last Update Date	:	02/29/2024

Similar Medicare Providers

1174343107 — TSE PSYCHOLOGICAL SERVICES LLC
Practice Location Address:

7110 OAKLAND AVE
SAINT LOUIS, MO
63117-1868

Practice Phone: 314-270-2343
Practice Fax:

1134388309 — MARGARET SWANN NORRIS JENNINGS MSW
Practice Location Address:

7110 OAKLAND AVE
RICHMOND HEIGHTS, MO
63117-1868

Practice Phone: 314-884-0004
Practice Fax:

1952634347 — DR. GREGORY A GOLDMAN PH.D.
Practice Location Address:

7110 OAKLAND AVE , SUITE 105
RICHMOND HEIGHTS, MO
63117-1868

Practice Phone: 314-884-0779
Practice Fax: 314-227-9327

1861871444 — MRS. BRITTANY NICOLE MURPHY MA, LPC
Practice Location Address:

7110 OAKLAND AVE , SUITE 105
RICHMOND HEIGHTS, MO
63117-1868

Practice Phone: 314-266-9854
Practice Fax:

1841743317 — PSYCHOLOGICAL SERVICES OF ST. LOUIS, LLC
Practice Location Address:

7110 OAKLAND AVE , SUITE 105
RICHMOND HEIGHTS, MO
63117-1868

Practice Phone: 314-884-0779
Practice Fax: 314-227-9327

1942398086 — JEFF MADIGAN L.P.C.
Practice Location Address:

114 W ELLIOTT ST
SAINT IGNACE, MI
49781-1868

Practice Phone: 906-643-8616
Practice Fax:

Directions to “ NICOLE LANDWEHR MSW, LCSW, REAT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.