CODE 1 WELLNESS NPI 1407475486

NPI Details

CODE 1 WELLNESS is a clinical social worker in Archie, MO. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. CODE 1 WELLNESS NPI is 1407475486. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

302 S MAIN ST # 258
ARCHIE, MO
ZIP 64725-608
Phone: (816) 372-2948

The provider's authorized official is Vanessa Kennedy .
The authorized official title is Ceo and has the following contact phone number (816) 372-2948.

The CLIA number assigned to this NPI record is 26D2310361 - other - non profit behavioral and with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2020 and was last updated on 1/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: