MEDICARE: MRS. VICKY LYNN GLASS L.C.S.W.

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	2001020554	MO

General Provider Information

NPI Number	:	1417086448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VICKY LYNN GLASS L.C.S.W.

Provider Business Mailing Address
First Line	:	1000 LAKE SAINT LOUIS BLVD
Second Line	:	SUITE 261
City	:	LAKE SAINT LOUIS
State	:	MO
Zip	:	63367-1340
Country	:	US
Telephone Number	:	636-561-0268
Fax Number	:	636-625-1580

Provider Business Practice Location Address
First Line	:	1000 LAKE SAINT LOUIS BLVD
Second Line	:	SUITE 261
City	:	LAKE SAINT LOUIS
State	:	MO
Zip	:	63367-1340
Country	:	US
Telephone Number	:	636-561-0268
Fax Number	:	636-625-1580

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

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1689664450 — MS. LINDA LEE RICHARDSON L.C.S.W
Practice Location Address:

1000 LAKE SAINT LOUIS BLVD , SUITE 217
LAKE SAINT LOUIS, MO
63367-1340

Practice Phone: 314-968-8585
Practice Fax:

1619059151 — MS. REBECCA CORINNE TURAY MSW, LCSW
Practice Location Address:

1000 LAKE SAINT LOUIS BLVD , STE 204
LAKE ST LOUIS, MO
63367-1340

Practice Phone: 636-561-5673
Practice Fax: 636-639-6755

1386722304 — RICK CAVINS
Practice Location Address:

1000 LAKE SAINT LOUIS BLVD , SUITE 134
LAKE ST LOUIS, MO
63367-1340

Practice Phone: 314-616-6699
Practice Fax: 636-561-1665

1164571006 — MRS. SHAUNA CLARK GILBERT LCSW
Practice Location Address:

1000 LAKE SAINT LOUIS BLVD , SUITE 222
LAKE SAINT LOUIS, MO
63367-1340

Practice Phone: 636-265-1004
Practice Fax: 636-265-1005

1881723773 — TOFBC, LLC
Practice Location Address:

1000 LAKE SAINT LOUIS BLVD , SUITE 261
LAKE SAINT LOUIS, MO
63367-1340

Practice Phone: 636-561-0268
Practice Fax: 636-625-1580

1326284860 — DR. STEPHANIE HEAVENER DENTON D.C.
Practice Location Address:

1000 LAKE SAINT LOUIS BLVD , SUITE 100
LAKE ST LOUIS, MO
63367-1340

Practice Phone: 636-695-4570
Practice Fax: 636-625-4554

Directions to “ MRS. VICKY LYNN GLASS L.C.S.W.” 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.