Provider Demographics
NPI:1407224561
Name:SIEVERT, JOAN (LCSW)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:SIEVERT
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 1:10820 SUNSET OFFICE DR STE 240
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127-1030
Mailing Address - Country:US
Mailing Address - Phone:314-530-6500
Mailing Address - Fax:844-416-0598
Practice Address - Street 1:10820 SUNSET OFFICE DR STE 240
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-1030
Practice Address - Country:US
Practice Address - Phone:314-530-6500
Practice Address - Fax:844-416-0598
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-07
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0256541041C0700X
MO20080344901041C0700X
ORL79991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical