Shauna Clark Gilbert, LCSW
Individual provider Active NPI Clinical Social Worker · Lake Saint Louis, MO
NPI 1164571006 · NPPES record last updated Feb 4, 2013
Key facts
- NPI
- 1164571006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2012010106 (MO)
- Practice address
- 1000 Lake Saint Louis Blvd
Suite 222
Lake Saint Louis, MO 63367-1340 - Phone
- (636) 265-1004
- Fax
- (636) 265-1005
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012010106 | MO | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4552 | LA | |
| Clinical Social Worker | 1041C0700X | 2012010106 | MO | Yes |
Addresses
Primary practice location
1000 Lake Saint Louis Blvd
Suite 222
Lake Saint Louis, MO 63367-1340
Mailing address
1000 Lake Saint Louis Blvd
Suite 222
Lake Saint Louis, MO 63367-1340
Phone (636) 265-1004
Other providers in Lake Saint Louis, MO
- Flourish Pelvic Physical Therapy and Wellness, LLC
- Terri Zamberlan Frank
- Donna Lynette Gaffney
- Garner Counseling Service LLC
- Sarah Suzette Geatley
- Amelia Louise Glass
- Vicky Lynn Glass
- Amanda Gonzales
- Greater Reach Speech LLC
- Gushleff Healthcare, Inc.
All providers in Lake Saint Louis, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.