Individual provider · Type 1 NPI

Stephanie M. Wideman, MSW, LCSW

Clinical Social Worker · Festus, MO

NPI number 1689320764 Active

Practice location

1810 Gardina Dr
Festus, MO 63028-2345

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2004003924 (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 1689320764

Stephanie M. Wideman, MSW, LCSW's National Provider Identifier is 1689320764, issued on Feb 27, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Festus, MO. The record was last updated on Feb 27, 2022.