Individual provider · Type 1 NPI

Destiny Leeanne Pottebaum, MSW

Clinical Social Worker · New Haven, MO

NPI number 1255032017 Active

Practice location

917 Miller St
New Haven, MO 63068-1192

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW16733 (FL)

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 1255032017

Destiny Leeanne Pottebaum, MSW's National Provider Identifier is 1255032017, issued on Mar 16, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Haven, MO. The record was last updated on Mar 16, 2023.