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

Mary Bridget Hennicke, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1396566337

Mary Bridget Hennicke, MSW, LCSW is a Clinical Social Worker in Saint Louis, Missouri. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2024
What do these letters mean?
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.

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Practice location Address checks out

7200 Manchester Rd
Saint Louis, MO 63143-2403
Phone: (314) 375-6282
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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 2018018557 (MO)

Record details

NPI number1396566337
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedOctober 22, 2024
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

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