Organization · Type 2 NPI

Code 1 Wellness

Clinical Social Worker · Archie, MO

NPI number 1407475486 Active

Practice location

302 S Main St # 258
Archie, MO 64725-9608

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed

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…

About NPI 1407475486

Code 1 Wellness's National Provider Identifier is 1407475486, issued on Apr 10, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Archie, MO. The record was last updated on Mar 19, 2026.