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

Individual provider Clinical Social Worker · NPI 1649723602

Shaelynn Tice, LCSW is a Clinical Social Worker in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
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

12110 Clayton Rd
Saint Louis, MO 63131-2599
Phone: (314) 989-8100
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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 2019032902 (MO)

Record details

NPI number1649723602
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 26, 2016
Last updated in NPPESApril 10, 2020
Certification dateApril 10, 2020

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