Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063804821 Individual Practitioner Male Practitioner

Dr. Bryan Charles Duckham , PhD, MSW, LCSW

Social Worker • St. Louis, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bryan Duckham, PhD, MSW, LCSW is a certified Social Worker practicing in St. Louis, MO. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Duckham delivers high-quality medical care to the local community at 12125 WOODCREST EXEC. DRIVE STE 110.

Dr. Duckham is affiliated with Madmar Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

12125 Woodcrest Exec. Drive Ste 110

St. Louis, MO 63141

Telephone 3142758599
Fax 3142758299
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in St. Louis, MO

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs Matches City Avg
City Avg: 19.0 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
25 Specialists

Practicing in St. Louis, MO (1936 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Duckham (19 Years) 19 Yrs
St. Louis Specialty Average (19.0 Years) 19.0 Yrs

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MO 366

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Hospital & Practice Group Affiliations

Madmar Llc

1215 Fern Ridge Pkwy, Saint Louis, MO 631414405

Phone: 3142758599

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Mollie Appelbaum , LCSW

Social Worker - Clinical

NPI 1023761343

Licensed Clinical Social Worker

Amy Neu , LCSW

Social Worker - Clinical

NPI 1033531207

Licensed Clinical Social Worker

Katherine Bouvatte , MSW, LCSW

Social Worker - Clinical

NPI 1033635982

Master of Social Work, Licensed Clinical Social Worker

Susan Fagan , LPC, RN

Counselor - Mental Health

NPI 1043468556

Licensed Professional Counselor, Registered Nurse

Dr. Murisa Begic-Gusic , PsyD

Psychologist - Clinical

NPI 1184962623

Doctor of Psychology (Psy.D.)

Kathleen Taggart , MSW, LCSW

Social Worker - Clinical

NPI 1225400427

Master of Social Work, Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2015

Registered at 12125 WOODCREST EXEC. DRIVE STE 110, ST. LOUIS, MO 63141 (Tel: 3142758599)

📍
Updated Business Mailing Address March 03, 2015

Registered at 12125 WOODCREST EXEC. DRIVE STE 110, ST. LOUIS, MO 63141 (Tel: 3142758599)

👤
Provider Name / Credentials Updated March 03, 2015

Recorded as BRYAN DUCKHAM, PHD, MSW, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2015

Social Worker (License #366 in MO)

🟢
Initial NPI Registration & Enumeration March 03, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063804821
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2015
Last Update: March 03, 2015
Sole Proprietor: Yes

Mailing Address

12125 Woodcrest Exec. Drive Ste 110

St. Louis, MO 63141

Phone: 3142758599

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.