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

Mrs. Kelly Rae Staddie, LCSW

Individual provider Clinical Social Worker · NPI 1093879835

Mrs. Kelly Rae Staddie, LCSW is a Clinical Social Worker in Mexico, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
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

734 W Monroe St
Mexico, MO 65265-1970
Phone: (573) 642-5345
Fax: (573) 642-5162
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2005008356 (MO)

Record details

NPI number1093879835
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 19, 2006
Last updated in NPPESJuly 8, 2007

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