OrganizationActive
Tettlebaum Therapy LLC
NPI 1457219404 · Clinical Social Worker · Saint Louis, MO
Provider details
- NPI number
- 1457219404
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Marianne Tettlebaum, Owner, Therapist(501) 772-7164
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
230 S Bemiston Ave Ste 1213
Saint Louis, MO 63105-1907
Phone: (501) 444-2674
Street-level locationGet directions
Mailing address
7400 Gayola Pl
Saint Louis, MO 63143-2006
Registry dates
- Enumerated
- 2026-01-09
- Last updated
- 2026-01-09
- Certified
- 2026-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.