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

Robert Donnelly, LCSW

Individual provider Clinical Social Worker · NPI 1366328080

Robert Donnelly, LCSW is a Clinical Social Worker in Saint Louis, Missouri. Qualified in 2022, 4 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Missouri.

Years since qualifying
4
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

4066 Dunnica Ave
Saint Louis, MO 63116-3510
Phone: (636) 224-1700
Fax: (314) 535-5917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5934 Wanda Ave, Saint Louis, MO 63116-2221 — (314) 789-7322

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2016026948 (MO)

Record details

NPI number1366328080
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 15, 2025
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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