Healthcare Provider Details

I. General information

NPI: 1437140159
Provider Name (Legal Business Name): TERRI R. OHLMS M.S.W., L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12166 OLD BIG BEND RD SUITE 100
KIRKWOOD MO
63122-6844
US

IV. Provider business mailing address

12166 OLD BIG BEND RD SUITE 100
KIRKWOOD MO
63122-6844
US

V. Phone/Fax

Practice location:
  • Phone: 314-909-0211
  • Fax: 314-909-0323
Mailing address:
  • Phone: 314-909-0211
  • Fax: 314-909-0323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW000057
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: