MEDICARE: CHILDREN'S ADVOCACY SERVICES OF GREATER ST. LOUIS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	103T00000X	Psychologist
3	104100000X	Social Worker

General Provider Information

NPI Number	:	1407990062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDREN'S ADVOCACY SERVICES OF GREATER ST. LOUIS

Provider Business Mailing Address
First Line	:	1 UNIVERSITY BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-4400
Country	:	US
Telephone Number	:	314-516-6798
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 UNIVERSITY BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-4400
Country	:	US
Telephone Number	:	314-516-6798
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JERRY H DUNN
Credential	:	PH.D.
Telephone Number	:	314-516-6798

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	09/11/2025

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