MEDICARE: EMMA GRADY-PAWL LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	2023043213	MO

General Provider Information

NPI Number	:	1154298537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA GRADY-PAWL LMSW

Provider Business Mailing Address
First Line	:	3155 SUTTON BLVD STE 201
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63143-3917
Country	:	US
Telephone Number	:	314-781-7900
Fax Number	:	314-781-7914

Provider Business Practice Location Address
First Line	:	3155 SUTTON BLVD STE 201
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63143-3917
Country	:	US
Telephone Number	:	314-781-7900
Fax Number	:	314-781-7914

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2025
Last Update Date	:	10/21/2025

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Directions to “ EMMA GRADY-PAWL LMSW” Practice Location

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