Individual provider · Type 1 NPI

Samantha Rae Sophie Stough, LCSW

Clinical Social Worker · Waco, TX

NPI number 1033988167 Active

Practice location

5931 Crosslake Pkwy
Waco, TX 76712-6986

Call (254) 870-5457 Map

Mailing address

PO Box 163
Elm Mott, TX 76640-0163

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X105562 (TX)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1033988167

Samantha Rae Sophie Stough, LCSW's National Provider Identifier is 1033988167, issued on Dec 29, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waco, TX. The record was last updated on Dec 29, 2023.