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REBECCA SUDDUTH
NPI 1356777619
Social Worker - Clinical in Saint Louis, MO

Active since September 18, 2013
915 N GRAND BLVD, SAINT LOUIS, MO 63106(314) 728-1376 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2024, Jul 18, 2024 (2 updates tracked since 2024).

About Rebecca Sudduth NPPES

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

REBECCA SUDDUTH (NPI 1356777619) is an individual clinical provider in Saint Louis, Missouri, licensed in District Of Columbia (LC50078234) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1356777619
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameREBECCA SUDDUTH
Location Address915 N GRAND BLVDSaint Louis, MO 63106-1621
Mailing Address915 N Grand BlvdSaint Louis, MO 63106-1621 · (314) 652-4100
Phone(314) 728-1376
Sole ProprietorNo
Enumeration DateSeptember 18, 2013
Last NPPES UpdateAugust 9, 20242 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1356777619 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 DC · LC50078234
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.
915 N GRAND BLVD, Saint Louis, MO 63106
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Other Providers at the Same Location NPPES 20

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

DR. MATTHEW CHRISTOPHER SIMPSON O.D.
Optometrist
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. CHARMIN MEYATTA GIBSON M.S.W.
Social Worker
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4110
CONOR MCCARTNEY M.D.
Internal Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
ALITA BILLOPS CNP
Nurse Practitioner (Primary Care)
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
STEPHANIE ADAMS
Registered Nurse
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 289-7676
NAGLA ABDELMALEK M.D.
Emergency Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
DR. JAMES MICHAEL HASIK DDS
Dentist (General Practice)
915 N GRAND BLVD, DENTAL CLINIC
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. TRACY LANES CRNA
Nurse Anesthetist, Certified Registered
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100

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 Rebecca Sudduth's NPI number?

The NPI number for Rebecca Sudduth is 1356777619. It was assigned to this individual provider in the NPPES registry on September 18, 2013.

Where is Rebecca Sudduth located?

Rebecca Sudduth practices at 915 N Grand Blvd, Saint Louis, MO 63106. The listed phone number is (314) 728-1376.

What is Rebecca Sudduth'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 Rebecca Sudduth was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.