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

Grace E Wildenhaus, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1053053363

Grace E Wildenhaus, MSW, LCSW is a Clinical Social Worker in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

3401 Berrywood Dr Ste 203
Columbia, MO 65201-6515
Phone: (573) 777-8455
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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 2024036742 (MO)

Record details

NPI number1053053363
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedApril 8, 2022
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

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