Healthcare Provider Details

I. General information

NPI: 1811531809
Provider Name (Legal Business Name): ALYSSA CASTANO MANN MSW. LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2019
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 S COMPTON AVE
SAINT LOUIS MO
63104-1209
US

IV. Provider business mailing address

3241 HARTFORD ST
SAINT LOUIS MO
63118-2105
US

V. Phone/Fax

Practice location:
  • Phone: 314-669-6396
  • Fax:
Mailing address:
  • Phone: 314-669-6396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2018013137
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: