Provider Demographics
NPI:1740230606
Name:STRAUSS-BARRETT, MARY CAROL (LPC, LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:CAROL
Last Name:STRAUSS-BARRETT
Suffix:
Gender:F
Credentials:LPC, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 PROSPECT AVE
Mailing Address - Street 2:SUITE 203K
Mailing Address - City:KIRKWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63122
Mailing Address - Country:US
Mailing Address - Phone:314-717-9605
Mailing Address - Fax:
Practice Address - Street 1:111 PROSPECT AVE
Practice Address - Street 2:SUITE 203K
Practice Address - City:KIRKWOOD
Practice Address - State:MO
Practice Address - Zip Code:63122
Practice Address - Country:US
Practice Address - Phone:314-843-0080
Practice Address - Fax:314-843-5655
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO001134101YP2500X
MO016111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO176218OtherBC/BS OF MO
MO176218OtherBC/BS OF MO