Individual provider · Type 1 NPI

Pamela Kueker, LCSW

Clinical Social Worker · Sparta, IL

NPI number 1366747768 Active

Practice location

104 Northtown Rd
Sparta, IL 62286-1081

Mailing address

10257 State Route 3
Red Bud, IL 62278-4418

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149014566 (IL)

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 1366747768

Pamela Kueker, LCSW's National Provider Identifier is 1366747768, issued on Jan 14, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sparta, IL. The record was last updated on Jan 14, 2011.