Doctor Name: | REBECCA MERCURIO |
NPI Number: | 1306147368 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 149014369 |
Business Practice Address: | 8084 Watson Rd Suite 243 Webster Groves, MO - 631195326 |
Business Phone Number: | 3143020396 |
Business Fax Number: | |
Mailing Address: | 8084 Watson Rd, WEBSTER GROVES |
State: | MO |
Postal Code: | 631195326 |
Phone Number: | 3143020396 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2010 |
NPI Last Update Date: | 08/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149014369 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |