Individual provider · Type 1 NPI

Pamela Christine Wirth

Clinical Social Worker · Millstadt, IL

NPI number 1336167402 Active

Practice location

62 Coachlight Dr
Millstadt, IL 62260-1802

Fax (618) 476-9128

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1336167402

Pamela Christine Wirth's National Provider Identifier is 1336167402, issued on Jul 17, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Millstadt, IL. The record was last updated on Jul 8, 2007.