Individual provider · Type 1 NPI
Mary Suzanne Wolfenbarger, LCSW
Clinical Social Worker · O Fallon, IL
Practice location
822 W State St
O Fallon, IL 62269-1808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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 1962558114
Mary Suzanne Wolfenbarger, LCSW's National Provider Identifier is 1962558114, issued on Jan 28, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in O Fallon, IL. The record was last updated on Jul 8, 2007.