Provider Demographics
NPI:1548902034
Name:TALVE-GOODMAN, SARIKA (MS, MSW, LMSW, PHD)
Entity type:Individual
Prefix:
First Name:SARIKA
Middle Name:
Last Name:TALVE-GOODMAN
Suffix:
Gender:F
Credentials:MS, MSW, LMSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7460 AMHERST AVE
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63130-2933
Mailing Address - Country:US
Mailing Address - Phone:314-406-2189
Mailing Address - Fax:
Practice Address - Street 1:7602 BIG BEND BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-2106
Practice Address - Country:US
Practice Address - Phone:314-252-8775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20200329921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical