Provider Demographics
NPI:1518345727
Name:FUEMMELER, MORGAN MARIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MORGAN
Middle Name:MARIE
Last Name:FUEMMELER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5279 FYLER AVE APT 1W
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63139-1300
Mailing Address - Country:US
Mailing Address - Phone:314-645-9600
Mailing Address - Fax:
Practice Address - Street 1:5279 FYLER AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63139-1300
Practice Address - Country:US
Practice Address - Phone:314-645-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-08
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013034706104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker