Provider Demographics
NPI:1992081541
Name:ASAMOAH, ALFRED NKRUMAH (MSW)
Entity type:Individual
Prefix:MR
First Name:ALFRED
Middle Name:NKRUMAH
Last Name:ASAMOAH
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 SOUTH BIG BEND
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63143
Mailing Address - Country:US
Mailing Address - Phone:314-520-9759
Mailing Address - Fax:
Practice Address - Street 1:2501 S BIG BEND BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63143-2122
Practice Address - Country:US
Practice Address - Phone:314-520-9759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical