Individual provider · Type 1 NPI

Wendy Shalene Blaylock, MSW, LCSW

Clinical Social Worker · Kingsville, MO

NPI number 1073754768 Active

Practice location

305 E Pacific St
Kingsville, MO 64061-2512

Mailing address

305 E Pacific
Kingsville, MO 64040

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2006019504 (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 1073754768

Wendy Shalene Blaylock, MSW, LCSW's National Provider Identifier is 1073754768, issued on Mar 10, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kingsville, MO. The record was last updated on Mar 10, 2009.