DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JUDITH ELLISON LCSW

MEDICARE:   JUDITH  ELLISON  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 Worker005117MO

General Provider Information

NPI Number : 1861669566
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH ELLISON LCSW
Provider Business Mailing Address
First Line : 3738 CHOUTEAU AVE
Second Line : SUITE 200
City : SAINT LOUIS
State : MO
Zip : 63110-2546
Country : US
Telephone Number : 314-772-8801
Fax Number : 314-772-7988
Provider Business Practice Location Address
First Line : 3738 CHOUTEAU AVE
Second Line : SUITE 200
City : SAINT LOUIS
State : MO
Zip : 63110-2546
Country : US
Telephone Number : 314-772-8801
Fax Number : 314-772-7988
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2008
Last Update Date : 05/12/2008

Similar Medicare Providers

1417966300 — GARY M MORSE PH.D.
Practice Location Address:
3738 CHOUTEAU AVE
SAINT LOUIS, MO
63110-2546
Practice Phone: 314-772-8801
Practice Fax: 314-772-7988
1932263423 — COMMUNITY ALTERNATIVES, INC.
Practice Location Address:
3738 CHOUTEAU AVE , SUITE 200
SAINT LOUIS, MO
63110-2546
Practice Phone: 314-772-8801
Practice Fax: 314-772-7988
1790835817 — MR. JOHN ARTHUR WINN LCSW
Practice Location Address:
3738 CHOUTEAU AVE , COMMUNITY ALTERNATIVES, STE. 200
SAINT LOUIS, MO
63110-2546
Practice Phone: 314-772-8801
Practice Fax: 314-772-7988
1386858041 — URSULA FICHTELBERG LPC & CASAC
Practice Location Address:
3738 CHOUTEAU AVE STE 200
SAINT LOUIS, MO
63110-2546
Practice Phone: 314-772-8801
Practice Fax:
1639346331 — DANIEL ORLET RN
Practice Location Address:
3738 CHOUTEAU AVE , SUITE 200
SAINT LOUIS, MO
63110-2546
Practice Phone: 314-772-8801
Practice Fax: 314-772-7988
1780851493 — YVETTE SPENCER CSW
Practice Location Address:
3738 CHOUTEAU AVE , SUITE 200
SAINT LOUIS, MO
63110-2546
Practice Phone: 314-772-8801
Practice Fax: 314-772-7988

Directions to “ JUDITH ELLISON LCSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.