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

Mr. Ralph William Groom Jr., LCSW, LBA

Individual provider Behavior Analyst · NPI 1568719953

Mr. Ralph William Groom Jr., LCSW, LBA is a Behavior Analyst in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2012.

Licensed in
MO
In the registry since
2012
Specialties on file
2
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

3877 Humphrey St
Saint Louis, MO 63116-4825
Phone: (314) 704-0900
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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 2016004103 (MO)
Behavior Analyst Taxonomy 103K00000X · Licence 2013028554 (MO)

Record details

NPI number1568719953
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LBA
Sole proprietorNo
NPI enumeratedAugust 6, 2012
Last updated in NPPESApril 27, 2020
Certification dateApril 27, 2020

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