Provider Demographics
NPI:1306662317
Name:CURRIN, ELLEN CORBITT (LMSW)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:CORBITT
Last Name:CURRIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 ARSENAL ST FL 2
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63118-2003
Mailing Address - Country:US
Mailing Address - Phone:919-906-6828
Mailing Address - Fax:
Practice Address - Street 1:3155 SUTTON BLVD STE 201
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MO
Practice Address - Zip Code:63143-3917
Practice Address - Country:US
Practice Address - Phone:314-781-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20230201021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical