Individual provider · Type 1 NPI
Jerry Dale Wilmath, LCSW LPC
Clinical Social Worker · Poplar Bluff, MO
Practice location
2024 N 14
Poplar Bluff, MO 63901
Fax (573) 686-2647
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | LPC000167 (MO) |
| Clinical Social Worker Primary | 1041C0700X | 003564 (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 1447267299
Jerry Dale Wilmath, LCSW LPC's National Provider Identifier is 1447267299, issued on Aug 2, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Poplar Bluff, MO. The record was last updated on Sep 11, 2025.