Individual provider · Type 1 NPI

Amy Wieboldt, LCSW

Clinical Social Worker · Lees Summit, MO

NPI number 1043067010 Active

Practice location

1579 NE Rice Rd
Lees Summit, MO 64086-5849

Call (816) 966-0900 Map

Fax (816) 347-3200

Mailing address

1555 NE Rice Rd
Lees Summit, MO 64086-5849

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X2023042126 (MO)
Clinical Social Worker Primary 1041C0700X2025050005 (MO)
Social Worker 104100000X2023042126 (MO)

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 1043067010

Amy Wieboldt, LCSW's National Provider Identifier is 1043067010, issued on May 6, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lees Summit, MO. The record was last updated on Nov 21, 2025.