Individual provider · Type 1 NPI

Misty M. Wade

Clinical Social Worker · Russell Springs, KY

NPI number 1255259362 Active

Practice location

145 W Steve Wariner Dr
Russell Springs, KY 42642-4541

Call (270) 507-6121 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X7180 (KY)

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 1255259362

Misty M. Wade's National Provider Identifier is 1255259362, issued on Jul 7, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Russell Springs, KY. The record was last updated on Jul 7, 2026.