Provider Demographics
NPI:1760731822
Name:VOSS, JENNIFER A (LCSW)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:A
Last Name:VOSS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8780 BIG BEND BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-3774
Mailing Address - Country:US
Mailing Address - Phone:314-304-4119
Mailing Address - Fax:
Practice Address - Street 1:8780 BIG BEND BLVD STE B
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-3774
Practice Address - Country:US
Practice Address - Phone:314-304-4119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011017394104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty