| Susan Mary Self-portwine, LCSW | |
|
7080 Rivermont Trl, House Springs, MO 63051-2081 | |
| (314) 643-6990 | |
| Not Available |
| Full Name | Susan Mary Self-portwine |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 7080 Rivermont Trl, House Springs, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407195753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 005014 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Mary Self-portwine, LCSW 1430 Olive St Ste 500, Saint Louis, MO 63103-2377 Ph: (314) 206-3700 | Susan Mary Self-portwine, LCSW 7080 Rivermont Trl, House Springs, MO 63051-2081 Ph: (314) 643-6990 |
Mrs. Michelle Rhianna Daubendiek, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4300 Gravois Rd, House Springs, MO 63051 Phone: 636-931-2700 | |
Stefani Poelker, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 Osage Executive Cir, House Springs, MO 63051 Phone: 636-677-9977 Fax: 636-677-9179 | |
Deann Jenifer Yount, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4300 Gravois Rd, House Springs, MO 63051 Phone: 636-321-0150 Fax: 636-375-5157 |