Individual provider · Type 1 NPI

Charles David Wise, LCSW

Clinical Social Worker · Odessa, MO

NPI number 1689390684 Active

Practice location

1278 W US Highway 40
Odessa, MO 64076-9612

Call (844) 853-8937 Map

Mailing address

1800 Community
Clinton, MO 64735-8804

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2025012791 (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 1689390684

Charles David Wise, LCSW's National Provider Identifier is 1689390684, issued on Oct 12, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Odessa, MO. The record was last updated on Apr 22, 2025.