Individual
MADELEINE CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1430 OLIVE ST STE 500, SAINT LOUIS, MO 63103-2377
(314) 206-3700
Mailing address
1430 OLIVE ST STE 500, SAINT LOUIS, MO 63103-2377
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149017309
LCSW
IL
01
—
2015014235
LCSW
MO
Enumeration date
07/30/2018
Last updated
07/30/2018
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