Individual provider · Type 1 NPI

Kirk Ryan Stadelmeyer, LICSW

Clinical Social Worker · Walla Walla, WA

NPI number 1407317969 Active

Practice location

77 Wainwright Dr Bldg 143
Walla Walla, WA 99362-3975

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW60903087

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 1407317969

Kirk Ryan Stadelmeyer, LICSW's National Provider Identifier is 1407317969, issued on Mar 27, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Walla Walla, WA. The record was last updated on Mar 27, 2019.