Provider Demographics
NPI:1538505680
Name:ARNAUTOVIC, MAJA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:MAJA
Middle Name:
Last Name:ARNAUTOVIC
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1027 BELLEVUE AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1996
Mailing Address - Country:US
Mailing Address - Phone:314-768-8818
Mailing Address - Fax:314-768-7129
Practice Address - Street 1:1027 BELLEVUE AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63117-1996
Practice Address - Country:US
Practice Address - Phone:314-768-8818
Practice Address - Fax:314-768-7129
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-16
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802086880104100000X
MI6801097123171M00000X
MO20200393581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator