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

Dr. Bryan Charles Duckham, PHD, MSW, LCSW

Individual provider Social Worker · NPI 1063804821

Dr. Bryan Charles Duckham, PHD, MSW, LCSW is a Clinical Social Worker in St. Louis, Missouri. Qualified in 2007, 19 years ago. Practices with Madmar LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
19
Licensed in
MO
In the registry since
2015
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12125 Woodcrest Exec Dr Ste 110
St. Louis, MO 63141
Phone: (314) 275-8599
Fax: (314) 275-8299
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 366 (MO)

Record details

NPI number1063804821
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , MSW , LCSW
Sole proprietorYes
NPI enumeratedMarch 3, 2015
Last updated in NPPESMarch 3, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Madmar Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in St. Louis