BREANNA LYNN DOUGLAS LCSW
NPI 1063146199
Social Worker - Clinical in Saint Louis, MO

Active since July 14, 2022
1167 CORPORATE LAKE DR, SAINT LOUIS, MO 63132(314) 534-9350 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Breanna Lynn Douglas Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREANNA LYNN DOUGLAS LCSW (NPI 1063146199) is an individual clinical provider in Saint Louis, Missouri, licensed in Missouri (2020034451) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1063146199
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBREANNA LYNN DOUGLASCredential: LCSW
Location Address1167 CORPORATE LAKE DRSaint Louis, MO 63132-1716
Mailing Address3309 S Kingshighway BlvdSaint Louis, MO 63139-1101 · (314) 534-9350
Sole ProprietorNo
Enumeration DateJuly 14, 2022
NPPES CertifiedJuly 12, 2022
NPI 1063146199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MO · 2020034451
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1167 CORPORATE LAKE DR, Saint Louis, MO 63132

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1167 CORPORATE LAKE DR
SAINT LOUIS, MO 63132
Marriage & Family Therapist
1167 CORPORATE LAKE DR
SAINT LOUIS, MO 63132
Counselor (Professional)
1167 CORPORATE LAKE DR
SAINT LOUIS, MO 63132
Counselor (Professional)
1167 CORPORATE LAKE DR
SAINT LOUIS, MO 63132
Social Worker (Clinical)
1167 CORPORATE LAKE DR
SAINT LOUIS, MO 63132
Social Worker
1167 CORPORATE LAKE DR
SAINT LOUIS, MO 63132
Counselor (Professional)
1167 CORPORATE LAKE DR
SAINT LOUIS, MO 63132
Psychologist (Clinical)
1167 CORPORATE LAKE DR
SAINT LOUIS, MO 63132

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanna Douglas's NPI number?

The NPI number for Breanna Douglas is 1063146199. It was assigned to this individual provider in the NPPES registry on July 14, 2022.

Where is Breanna Douglas located?

Breanna Douglas practices at 1167 Corporate Lake Dr, Saint Louis, MO 63132. The listed phone number is (314) 534-9350.

What is Breanna Douglas's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Breanna Douglas was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.