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
Mailing address77 Wainwright Dr Bldg 143, Walla Walla, WA 99362-3975

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