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

Marianne Tettlebaum, LCSW

Individual provider Clinical Social Worker · NPI 1497633929

Marianne Tettlebaum, LCSW is a Clinical Social Worker in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

7400 Gayola Pl
Saint Louis, MO 63143-2006
Phone: (501) 772-7164
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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 2025017404 (MO)

Record details

NPI number1497633929
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 22, 2025
Last updated in NPPESAugust 31, 2025
Certification dateAugust 31, 2025

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