Jennifer Leigh Albracht, LCSW

Individual provider Active NPI Clinical Social Worker · Saint Louis, MO

NPI 1891939773 · NPPES record last updated Apr 23, 2009

Key facts

NPI
1891939773
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
2007017151 (MO)
Practice address
2301 Hampton Ave
Saint Louis, MO 63139-2908
Phone
(888) 657-3201
Fax
(314) 781-3295
NPI assigned
Apr 23, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2007017151MOMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2007017151 MO Yes

Addresses

Primary practice location

2301 Hampton Ave
Saint Louis, MO 63139-2908

Mailing address

2301 Hampton Ave
Saint Louis, MO 63139-2908
Phone (888) 657-3201

Other providers in Saint Louis, MO

All providers in Saint Louis, MO · Clinical Social Worker in Missouri

Sources for this page

Verify at the official NPI Registry.