Healthcare Provider Details

I. General information

NPI: 1902944259
Provider Name (Legal Business Name): PEGGY A SZWABO PHD, MSW, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 BELLEVUE AVE
SAINT LOUIS MO
63117-1701
US

IV. Provider business mailing address

1201 BELLEVUE AVE
SAINT LOUIS MO
63117-1701
US

V. Phone/Fax

Practice location:
  • Phone: 314-603-5339
  • Fax: 314-647-6305
Mailing address:
  • Phone: 314-603-5339
  • Fax: 314-647-6305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number000607
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number050732
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: