Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Nissenbaum

Individual provider Clinical Social Worker · NPI 1861910754

Andrea Nissenbaum is a Clinical Social Worker in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2017.

Licensed in
MO
In the registry since
2017

Practice location Address checks out

1430 Olive St Ste 500
Saint Louis, MO 63103-2377
Phone: (314) 453-9851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2021008193 (MO)

Record details

NPI number1861910754
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2017
Last updated in NPPESNovember 28, 2022
Certification dateNovember 28, 2022

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