IndividualActive
Mary Gilliam, M.S.W., L.C.S.W.
NPI 1609244565 · School Social Worker · Saint Louis, MO
Provider details
- NPI number
- 1609244565
- Entity type
- Individual
- Primary specialty
- School Social WorkerBehavioral Health & Social Service Providers
- Credential
- M.S.W., L.C.S.W.
- Sex
- Female
- Sole proprietor
- No
- License
- 001228 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
12110 Clayton Rd
Saint Louis, MO 63131-2516
Phone: (314) 989-8150
Approximate (ZIP-level) locationGet directions
Mailing address
12110 Clayton Rd
Saint Louis, MO 63131-2516
Registry dates
- Enumerated
- 2015-09-09
- Last updated
- 2015-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.