Provider Demographics
NPI:1871583260
Name:SCHECHTMAN, JUDITH LOUISE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:LOUISE
Last Name:SCHECHTMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 S MERAMEC AVE
Mailing Address - Street 2:SUITE 504
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63105-3511
Mailing Address - Country:US
Mailing Address - Phone:314-725-8889
Mailing Address - Fax:314-721-7574
Practice Address - Street 1:225 S MERAMEC AVE
Practice Address - Street 2:SUITE 504
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63105-3511
Practice Address - Country:US
Practice Address - Phone:314-725-8889
Practice Address - Fax:314-721-7574
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW0000511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO3143686981OtherCELL NUMBER