Healthcare Provider Details

I. General information

NPI: 1417881962
Provider Name (Legal Business Name): RASHIDA TENNAE' DINEHART MSW, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9666 OLIVE BLVD STE 370
SAINT LOUIS MO
63132-3025
US

IV. Provider business mailing address

242 CREST AVE
KIRKWOOD MO
63122-5601
US

V. Phone/Fax

Practice location:
  • Phone: 314-779-9646
  • Fax:
Mailing address:
  • Phone: 314-779-9646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2026023960
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: