Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kirk Ryan Stadelmeyer, LICSW

Individual provider Clinical Social Worker · NPI 1407317969

Kirk Ryan Stadelmeyer, LICSW is a Clinical Social Worker in Walla Walla, Washington. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

77 Wainwright Dr Bldg 143
Walla Walla, WA 99362-3975
Phone: (509) 525-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW60903087

Record details

NPI number1407317969
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMarch 27, 2019
Last updated in NPPESMarch 27, 2019

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