Individual provider · Type 1 NPI

Pamela Jean Wieters, LCSW

Clinical Social Worker · Lewiston, ID

NPI number 1649629700 Active

Practice location

428 6th Ave
Lewiston, ID 83501-2355

Mailing address

531 Bryden Ave
Lewiston, ID 83501-4438

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLMSW-27529 (ID)
Clinical Social Worker Primary 1041C0700XLCSW-38063 (ID)

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 1649629700

Pamela Jean Wieters, LCSW's National Provider Identifier is 1649629700, issued on Jun 9, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lewiston, ID. The record was last updated on Sep 30, 2019.