| Creative Paths | |
|
7750 Clayton Rd Suite 308 A Saint Louis MO 63117-1353 | |
| (314) 644-4422 | |
| Not Available |
| Full Name | Creative Paths |
|---|---|
| Speciality | Social Worker |
| Location | 7750 Clayton Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Mary N St. Clair (PSYCHOTHERAPIST) |
| Authorized Official Contact | 3146444422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Paths 7750 Clayton Rd Suite 308 A Saint Louis MO 63117-1353 Ph: (314) 644-4422 | Creative Paths 7750 Clayton Rd Suite 308 A Saint Louis MO 63117-1353 Ph: (314) 644-4422 |
| NPI Number | 1437337029 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 04/21/2009 |
| Medicare PECOS PAC ID | 2860408184 |
|---|---|
| Medicare Enrollment ID | O20060223000715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437337029 | NPI | - | NPPES |
| 490614104 | Medicaid | MO | |
| 209651 | Other | MO | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW00003838 (Missouri) | Primary |
| Provider Name | Mary N St Clair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073576286 PECOS PAC ID: 6002866043 Enrollment ID: I20050411000111 |
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