Individual provider · Type 1 NPI

Shana Hintz Wisniewski, LCSW

Clinical Social Worker · Rolla, MO

NPI number 1366967960 Active

Practice location

1000 W. 10th St.
Rolla, MO 65401

Mailing address

1050 W 10th St, Attn: Executive Director Of Physician Clinics
Rolla, MO 65401-2905

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2017027555 (MO)

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 1366967960

Shana Hintz Wisniewski, LCSW's National Provider Identifier is 1366967960, issued on Aug 4, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rolla, MO. The record was last updated on Aug 22, 2019.