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JACQUELINE SUE PUDLOWSKI LCSW
NPI 1477220598
Social Worker - Clinical in O Fallon, MO

Active since August 26, 2021
789 THUNDER HILL DR, O FALLON, MO 63368(314) 409-0021 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacqueline Sue Pudlowski Lcsw NPPES

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

JACQUELINE SUE PUDLOWSKI LCSW (NPI 1477220598) is an individual clinical provider in O Fallon, Missouri, licensed in Missouri (2004006777) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1477220598
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE SUE PUDLOWSKICredential: LCSW
Location Address789 THUNDER HILL DRO Fallon, MO 63368-4094
Mailing Address789 Thunder Hill DrO Fallon, MO 63368-4094 · (314) 409-0021
Phone(314) 409-0021
Sole ProprietorYes
Enumeration DateAugust 26, 2021
NPPES CertifiedAugust 24, 2021
✔ NPI 1477220598 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 · 2004006777
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.
789 THUNDER HILL DR, O Fallon, MO 63368
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jacqueline Pudlowski's NPI number?

The NPI number for Jacqueline Pudlowski is 1477220598. It was assigned to this individual provider in the NPPES registry on August 26, 2021.

Where is Jacqueline Pudlowski located?

Jacqueline Pudlowski practices at 789 Thunder Hill Dr, O Fallon, MO 63368. The listed phone number is (314) 409-0021.

What is Jacqueline Pudlowski'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 Jacqueline Pudlowski was last updated on August 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.