Individual provider · Type 1 NPI

Tracy Amanda Waddle, LCSW

Clinical Social Worker · North Little Rock, AR

NPI number 1881708600 Active

Practice location

4354 Stockton Dr
North Little Rock, AR 72117-2917

Call (501) 955-7600 Map

Fax (501) 955-7612

Mailing address

650 S Shackleford Rd, Suite 217
Little Rock, AR 72211-3522

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2017-C (AR)

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 1881708600

Tracy Amanda Waddle, LCSW's National Provider Identifier is 1881708600, issued on Aug 18, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in North Little Rock, AR. The record was last updated on Jul 8, 2007.