MS. Genevieve Anne Distasio
MS. Genevieve Anne Distasio is a Clinical Social Worker in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2026
- Specialties on file
- 2
Practice location Address checks out
5367 Pershing Ave Apt 4Saint Louis, MO 63112-1785
Phone: (314) 606-8837
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 004717 |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 149.002027 (IL) |
Record details
| NPI number | 1407708340 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 12, 2026 |
| Last updated in NPPES | February 12, 2026 |
| Certification date | February 12, 2026 |
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