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

Individual provider Clinical Social Worker · NPI 1811211139

Melissa Anne Peterson, LICSW is a Clinical Social Worker in Saint Louis, Missouri. Licensed in Massachusetts and Missouri. Registered with an NPI since 2010.

Licensed in
MA, MO
In the registry since
2010
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

9909 Clayton Rd Ste LL2A
Saint Louis, MO 63124-1120
Phone: (314) 649-2416
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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 2016021511 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 115640 (MA)

Record details

NPI number1811211139
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 15, 2010
Last updated in NPPESJanuary 20, 2017

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