Provider Demographics
NPI:1669629523
Name:NAHM, JENNIFER M (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:M
Last Name:NAHM
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 W KIRKHAM AVE
Mailing Address - Street 2:
Mailing Address - City:WEBSTER GROVES
Mailing Address - State:MO
Mailing Address - Zip Code:63119-2233
Mailing Address - Country:US
Mailing Address - Phone:636-375-1285
Mailing Address - Fax:314-963-9047
Practice Address - Street 1:602 W KIRKHAM AVE
Practice Address - Street 2:
Practice Address - City:WEBSTER GROVES
Practice Address - State:MO
Practice Address - Zip Code:63119-2233
Practice Address - Country:US
Practice Address - Phone:636-375-1285
Practice Address - Fax:314-963-9047
Is Sole Proprietor?:No
Enumeration Date:2008-08-22
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20090358241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical