Andrea Marie Liebhart, LCSW

Individual provider Active NPI Clinical Social Worker · Carrollton, MO

NPI 1376978445 · NPPES record last updated Oct 3, 2025

Key facts

NPI
1376978445
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
2020022757 (MO)
Practice address
PO Box 84
Carrollton, MO 64633-0084
Phone
(660) 631-8752
NPI assigned
Sep 9, 2013
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

LicenseStateTypeSpecialty
22756AZMDMental Health Counselor
09923280COMDClinical Social Worker
4490HIMDClinical Social Worker
2020022757MOMDClinical Social Worker
7783TNMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7783 TN
Clinical Social Worker 1041C0700X 22756 AZ
Clinical Social Worker 1041C0700X 09923280 CO
Clinical Social Worker 1041C0700X 2020022757 MO Yes
Clinical Social Worker 1041C0700X 4490 HI

Addresses

Primary practice location

PO Box 84
Carrollton, MO 64633-0084

Mailing address

PO Box 84
Carrollton, MO 64633-0084
Phone (660) 631-8752

Other providers in Carrollton, MO

All providers in Carrollton, MO · Clinical Social Worker in Missouri

Sources for this page

Verify at the official NPI Registry.