Individual provider · Type 1 NPI

Stacy Michelle Wilson, LCSW

Clinical Social Worker · Bentonville, AR

NPI number 1356464556 Active

Practice location

2003 SE Walton Blvd
Bentonville, AR 72712-3725

Call (479) 464-8081 Map

Fax (479) 464-0674

Mailing address

4253 N Crossover Rd
Fayetteville, AR 72703-4593

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2075-C (AR)

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 1356464556

Stacy Michelle Wilson, LCSW's National Provider Identifier is 1356464556, issued on Apr 10, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bentonville, AR. The record was last updated on Jul 8, 2007.