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NPI Code Detail

MEDICARE: SARAH BRAVER LCSW

MEDICARE: SARAH BRAVER 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 Worker2025049657MO

General Provider Information

NPI Number : 1740076439
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH BRAVER LCSW
Provider Business Mailing Address
First Line : 10018 KENNERLY RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63128-2106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10018 KENNERLY RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63128-2106
Country : US
Telephone Number : 314-525-7275
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2025
Last Update Date : 12/16/2025

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