Healthcare Provider Details

I. General information

NPI: 1558035550
Provider Name (Legal Business Name): CLAIRE ELIZABETH BURKEMPER MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2021
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9904 CLAYTON RD STE 124
SAINT LOUIS MO
63124-1173
US

IV. Provider business mailing address

1209 CHILDRESS AVE
SAINT LOUIS MO
63139-3417
US

V. Phone/Fax

Practice location:
  • Phone: 314-200-5366
  • Fax:
Mailing address:
  • Phone: 314-882-4853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2024043301
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: