Individual
MR. NATHAN A OATIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
3109 S GRAND BLVD STE 200C, SAINT LOUIS, MO 63118-1039
(314) 691-0903
Mailing address
3109 S GRAND BLVD STE 200C, SAINT LOUIS, MO 63118-1039
(314) 691-0903
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2021049186
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490136018
—
MO
Enumeration date
01/05/2024
Last updated
12/22/2025
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