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

Individual provider Clinical Social Worker · NPI 1780369405

Theresa Flora Wiss, LCSW is a Clinical Social Worker in Saint Louis, Missouri. Qualified in 2015, 11 years ago. Practices with Madmar LLC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
11
Licensed in
MO
In the registry since
2023
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

1215 Fern Ridge Pkwy Ste 110
Saint Louis, MO 63141-4405
Phone: (314) 275-8599
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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 2022028185 (MO)

Record details

NPI number1780369405
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 20, 2023
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Madmar Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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