Individual provider · Type 1 NPI

Pamela D. Stalder, LCSW

Clinical Social Worker · Madison, MS

NPI number 1124333679 Active

Practice location

254 Ingleside Dr
Madison, MS 39110-9524

Call (601) 695-1919 Map

Fax (601) 420-5299

Mailing address

PO Box 1995
Madison, MS 39130-1995

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2606 (LA)

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 1124333679

Pamela D. Stalder, LCSW's National Provider Identifier is 1124333679, issued on Aug 9, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, MS. The record was last updated on Aug 9, 2010.