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Contact Information

I REGINA GOURDINE, MSW , LCSW
9378 OLIVE BLVD STE 311
SAINT LOUIS, MO63132-3224
 Phone: 314-845-3502
 Fax: 314-329-6858
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Home Health Aide

374U00000X
 

Homemaker

376J00000X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for I REGINA GOURDINE · (Female)

NPI # 1396873089
Status Active
Credentials MSW , LCSW
Entity Individual
Enumeration date 03/02/2007
Last updated 07/03/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 004214
  • MO Medicaid 493656805
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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