EBONY THERAPY LLC - NPI 1679173108 - Social Worker in Bridgeton, MO

Q: What is Ebony Therapy LLC's NPI number?

The NPI number for Ebony Therapy LLC is 1679173108. It was assigned to this organization in the NPPES registry on October 26, 2020.

Q: What is Ebony Therapy LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ebony Therapy LLC was last updated on November 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ebony Therapy Llc NPPES

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

EBONY THERAPY LLC (NPI 1679173108) is a healthcare organization registered as a clinical in Bridgeton, Missouri and active in the NPI registry since October 2020. The organization lists Clara Genine Edwards, Official Delegate, as its authorized official.

NPPES Registry Identity

NPI1679173108

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameEBONY THERAPY LLC

Location Address3751 PENNRIDGE DR STE 119Bridgeton, MO 63044-1244

Mailing Address3751 Pennridge Dr Ste 119Bridgeton, MO 63044-1244 · (314) 443-7776 · Fax (314) 735-4377

Phone(314) 791-2606

Organization SubpartNo

Authorized OfficialClara Genine EdwardsOfficial Delegate · (314) 791-2606

Enumeration DateOctober 26, 2020

Last NPPES UpdateNovember 17, 20202 updates tracked since enumeration

NPPES CertifiedNovember 17, 2020

✔ NPI 1679173108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

3751 PENNRIDGE DR STE 119, Bridgeton, MO 63044

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Group Practice 2

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

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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.

EMMA PETROFSKY LMSW

Social Worker