Provider Demographics
NPI:1750317848
Name:KERNE, NANCY K (LCSW)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:K
Last Name:KERNE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4643 LINDELL BLVD APT 523
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-3731
Mailing Address - Country:US
Mailing Address - Phone:314-952-8819
Mailing Address - Fax:314-361-6649
Practice Address - Street 1:4507 LACLEDE AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108
Practice Address - Country:US
Practice Address - Phone:314-952-8819
Practice Address - Fax:314-361-6649
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2018-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA17721041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health