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

Individual provider Clinical Social Worker · NPI 1649801358

Mitra S Pedram, MSW, LCSW is a Clinical Social Worker in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
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

1300 E Bradford Pkwy
Springfield, MO 65804-4264
Phone: (417) 761-5000
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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 2022007696 (MO)

Record details

NPI number1649801358
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedJanuary 31, 2020
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025

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