MARIANNE TETTLEBAUM LCSW
NPI 1497633929
Social Worker - Clinical in Saint Louis, MO

Active since August 22, 2025
7400 GAYOLA PL, SAINT LOUIS, MO 63143(501) 772-7164 Get Directions Write a Review

NPPES record last updated: August 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marianne Tettlebaum Lcsw NPPES

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

MARIANNE TETTLEBAUM LCSW (NPI 1497633929) is an individual clinical provider in Saint Louis, Missouri, licensed in Missouri (2025017404) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1497633929
Entity TypeIndividual
Primary Taxonomy1041C0700X
Provider Legal NameMARIANNE TETTLEBAUMCredential: LCSW
Location Address7400 GAYOLA PLSaint Louis, MO 63143-2006
Mailing Address7400 Gayola PlSaint Louis, MO 63143-2006 · (501) 772-7164
Sole ProprietorYes
Enumeration DateAugust 22, 2025
Last NPPES UpdateAugust 31, 2025
NPPES CertifiedAugust 31, 2025
NPI 1497633929 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 · 2025017404
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.
7400 GAYOLA PL, Saint Louis, MO 63143

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 Marianne Tettlebaum's NPI number?

The NPI number for Marianne Tettlebaum is 1497633929. It was assigned to this individual provider in the NPPES registry on August 22, 2025.

Where is Marianne Tettlebaum located?

Marianne Tettlebaum practices at 7400 Gayola Pl, Saint Louis, MO 63143. The listed phone number is (501) 772-7164.

What is Marianne Tettlebaum'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 Marianne Tettlebaum was last updated on August 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.