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

Charles David Wise, LCSW

Individual provider Clinical Social Worker · NPI 1689390684

Charles David Wise, LCSW is a Clinical Social Worker in Odessa, Missouri. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1278 W US Highway 40
Odessa, MO 64076-9612
Phone: (844) 853-8937
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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 2025012791 (MO)

Record details

NPI number1689390684
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 12, 2022
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address1800 Community, Clinton, MO 64735-8804

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