Provider Demographics
NPI:1538459086
Name:RAPP, JOHN GREGORY (MSW, LMSW)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:GREGORY
Last Name:RAPP
Suffix:
Gender:M
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 W LOCKWOOD AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-2951
Mailing Address - Country:US
Mailing Address - Phone:314-968-1900
Mailing Address - Fax:314-968-1901
Practice Address - Street 1:231 W LOCKWOOD AVE STE 201
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-2951
Practice Address - Country:US
Practice Address - Phone:314-968-1900
Practice Address - Fax:314-968-1901
Is Sole Proprietor?:No
Enumeration Date:2011-04-17
Last Update Date:2011-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011007036104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker