Provider Demographics
NPI:1376798819
Name:LUEBBERING, CATHY (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:LUEBBERING
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:LUEBBERING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:6744 CLAYTON RD. STE. 301
Mailing Address - Street 2:
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117
Mailing Address - Country:US
Mailing Address - Phone:314-313-4351
Mailing Address - Fax:
Practice Address - Street 1:6744 CLAYTON RD. STE. 301
Practice Address - Street 2:STE. 301
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117
Practice Address - Country:US
Practice Address - Phone:314-313-4351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20050183141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2005018314Medicaid