Provider Demographics
NPI:1093439093
Name:FEUER, BEN ELI (LMSW)
Entity Type:Individual
Prefix:MR
First Name:BEN
Middle Name:ELI
Last Name:FEUER
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5023 LANSDOWNE AVE APT 1E
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-2415
Mailing Address - Country:US
Mailing Address - Phone:440-773-9740
Mailing Address - Fax:
Practice Address - Street 1:1750 S BRENTWOOD BLVD STE 205
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:MO
Practice Address - Zip Code:63144-1315
Practice Address - Country:US
Practice Address - Phone:440-773-9740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022010532104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker