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

Individual provider Social Worker · NPI 1417418591

Stephanie Widhalm, LICSW is a Social Worker in Spokane, Washington. Licensed in Washington. Registered with an NPI since 2019.

Licensed in
WA
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

1321 W Broadway Ave
Spokane, WA 99201-2053
Phone: (509) 473-4810
Fax: (509) 473-4840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LW60331678 (WA)

Record details

NPI number1417418591
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 29, 2019
Last updated in NPPESMarch 29, 2019
Mailing address1321 W Broadway Ave, Spokane, WA 99201-2053

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