Marilyn Muckerman, MSW,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW002637 Issued in MO

Practice address

10764 Indian Head Industrial Blvd
Saint Louis, MO 63132-1102

Phone

(314) 727-2226

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Compass Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • High Ridge, MO
  • NPI 1891040077
  NPD (past)
• Pathways for Aging, Inc.

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1497866404
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982630992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10764 INDIAN HEAD IND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10764 INDIAN HEAD INDUSTRIAL BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321102",
            "telephone_number": "314-727-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCKERMAN",
        "first_name": "MARILYN",
        "credential": "MSW,LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW002637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Msengi, PHARMD.
• MTR, LLC
• Roeshelle Renne Mu'Min, LCSW
• Lamya Suhail Mubayed, MD
• Amy Muchnick
• Omar Mudallal
• Mohamed Fawzi Mudarres
• Carrie Ann Mudd, M.D.
• Christopher David Mudd, M.D.
• Gregory D Mudd

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.