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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACI R WICKERSHAM, MSW, LCSW

Active

STACI R WICKERSHAM, MSW, LCSW is a Clinical Social Worker healthcare provider located in SPRINGFIELD, Missouri. NPI 1245886241 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SPRINGFIELD, MO

Registration Details

NPI Number
1245886241
Provider Type
Individual
Gender
Female
NPI Issued
Aug 15, 2019 (6.9796190396546 yrs)
Last Updated
Dec 2, 2025
Licenses
2019031610 (MO)
2023004758 (MO)

Practice Information

Address
1540 E EVERGREEN ST
SPRINGFIELD, MO, 658034300
Browse MO providers · Browse ZIP 65803
Phone
4178232900
Fax
4178232981
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in SPRINGFIELD, MO

Name Credential NPI
DELLA GOODWIN LCSW 1568468411
BARBARA ANNE HICKS LCSW 1376549147
MRS. CHRISTINE ANN NEMETI LCSW 1033115811
MELISSA N BURNS MSW, LCSW 1962408872
PAUL GOODWIN LCSW 1376549238
ANGELA K COULTER LCSW 1235135153
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.