Individual provider · Type 1 NPI

Iris May Sidikman, LGSW

Clinical Social Worker · Charleston, WV

NPI number 1366376261 Active

Practice location

104 Alex Ln
Charleston, WV 25304-2952

Call (681) 205-8701 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XBP00947011 (WV)

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 1366376261

Iris May Sidikman, LGSW's National Provider Identifier is 1366376261, issued on Jun 9, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charleston, WV. The record was last updated on Jun 9, 2026.