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NPI Code Detail

MEDICARE: MS. ERIKA RUTH KING MSW, LCSW

MEDICARE: MS. ERIKA RUTH KING MSW, LCSW
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
11041C0700XClinical Social Worker149012171IL
21041C0700XClinical Social Worker2007036366MO

General Provider Information

NPI Number : 1336378207
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERIKA RUTH KING MSW, LCSW
Provider Business Mailing Address
First Line : 4121 UNION RD STE 225
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63129-1093
Country : US
Telephone Number : 314-730-6787
Fax Number :
Provider Business Practice Location Address
First Line : 4121 UNION RD STE 225
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63129-1093
Country : US
Telephone Number : 314-730-6787
Fax Number : 314-730-6585
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2009
Last Update Date : 01/06/2023

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1831873504 — AMANDA L WOOLLARD MA LPC, LLC
Practice Location Address:
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Practice Fax: 314-730-6585

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