Individual provider · Type 1 NPI

Pamela Lee Wantuck, LCSW

Clinical Social Worker · Springfield, MO

NPI number 1043545197 Active

Practice location

440 S Market Ave
Springfield, MO 65806-2026

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2005021042 (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 1043545197

Pamela Lee Wantuck, LCSW's National Provider Identifier is 1043545197, issued on Oct 7, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Springfield, MO. The record was last updated on Apr 28, 2010.