MS. TERESA WIEDEMANN LICSW
NPI 1063790509
Social Worker - Clinical in Walla Walla, WA

Active since August 02, 2011
139 RUSSET RD, WALLA WALLA, WA 99362(509) 520-4370 Get Directions Write a Review

NPPES record last updated: April 9, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Teresa Wiedemann Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TERESA WIEDEMANN LICSW (NPI 1063790509) is an individual clinical provider in Walla Walla, Washington, licensed in Washington (LW 60111377) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1063790509
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. TERESA WIEDEMANNCredential: LICSW
Location Address139 RUSSET RDWalla Walla, WA 99362-8253
Mailing Address139 Russet RdWalla Walla, WA 99362-8253 · (509) 520-4370
Sole ProprietorYes
Enumeration DateAugust 2, 2011
Last NPPES UpdateApril 9, 2012
NPI 1063790509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WA · LW 60111377
Definition
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.
139 RUSSET RD, Walla Walla, WA 99362

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teresa Wiedemann's NPI number?

The NPI number for Teresa Wiedemann is 1063790509. It was assigned to this individual provider in the NPPES registry on August 2, 2011.

Where is Teresa Wiedemann located?

Teresa Wiedemann practices at 139 Russet Rd, Walla Walla, WA 99362. The listed phone number is (509) 520-4370.

What is Teresa Wiedemann's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Teresa Wiedemann was last updated on April 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.