MEDICARE: LAUREN ATHERTON 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	1041C0700X	Clinical Social Worker	2024024811	MO

General Provider Information

NPI Number	:	1194680785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN ATHERTON LMSW

Provider Business Mailing Address
First Line	:	2835 CHEROKEE ST APT 2W
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63118-3028
Country	:	US
Telephone Number	:	314-202-1220
Fax Number	:

Provider Business Practice Location Address
First Line	:	2835 CHEROKEE ST APT 2W
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63118-3028
Country	:	US
Telephone Number	:	314-202-1220
Fax Number	:

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

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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