MEDICARE: ROSEBUD THERAPY SERVICES LLC

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

General Provider Information

NPI Number	:	1619855251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSEBUD THERAPY SERVICES LLC

Provider Business Mailing Address
First Line	:	6747 PERNOD AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63139-2115
Country	:	US
Telephone Number	:	314-954-8372
Fax Number	:

Provider Business Practice Location Address
First Line	:	7200 MANCHESTER RD
Second Line	:
City	:	MAPLEWOOD
State	:	MO
Zip	:	63143-2403
Country	:	US
Telephone Number	:	314-292-9873
Fax Number	:

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	MARY B HENNICKE
Credential	:	MSW, LCSW
Telephone Number	:	314-292-9873

Provider Enumeration Date	:	08/22/2025
Last Update Date	:	08/22/2025

Similar Medicare Providers

1578498960 — THERESA WISS LCSW LLC
Practice Location Address:

7200 MANCHESTER RD
MAPLEWOOD, MO
63143-2403

Practice Phone: 860-324-3581
Practice Fax:

1770509960 — MS. MICHELLE M SALOIS LCSW
Practice Location Address:

7200 MANCHESTER RD
MAPLEWOOD, MO
63143-2403

Practice Phone: 314-993-8818
Practice Fax:

1639207590 — BETTY JEAN KERR PEOPLE'S HEALTH CENTERS
Practice Location Address:

7200 MANCHESTER RD
MAPLEWOOD, MO
63143-2403

Practice Phone: 314-781-9162
Practice Fax: 314-781-2034

1376752857 — PEOPLE'S HEALTH CENTERS, INC.
Practice Location Address:

7200 MANCHESTER RD
SAINT LOUIS, MO
63143-2403

Practice Phone: 314-781-9162
Practice Fax: 314-781-2034

1396566337 — MARY BRIDGET HENNICKE MSW, LCSW
Practice Location Address:

7200 MANCHESTER RD
SAINT LOUIS, MO
63143-2403

Practice Phone: 314-375-6282
Practice Fax:

1558578369 — LIBERTY MEDICAL CARE SERVICES LLC
Practice Location Address:

1453 SPRINGFIELD AVE
MAPLEWOOD, NJ
07040-2403

Practice Phone: 973-761-8900
Practice Fax: 973-761-4780

Directions to “ROSEBUD THERAPY SERVICES LLC ” 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.