Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962610444 Individual Practitioner Female Practitioner

Pamela June Stack , MA, ATR-BC, LCSW

Social Worker - Clinical • Webster Groves, MO

Professional Overview & Biography Verified Profile Summary

Pamela Stack, MA, ATR-BC, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Webster Groves, MO. Practice services are available at 330 N GORE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

330 N Gore Ave

Webster Groves, MO 631191600

Telephone 3149194700
Fax 3149682375
Associated Practice Facility / Clinic
🏢 Edgewood Children's Hom'e Facility NPI 1346555729

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Webster Groves, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.7 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
28 Specialists

Practicing in Webster Groves, MO (5572 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License MO 002178

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Edmund Bozesky , ACSW-LCSW

Social Worker - Clinical

NPI 1043485295

ACSWLCSW

Melissa Webb , MA, PLPC

Counselor - Professional

NPI 1093107807

Master of Arts, PLPC

NPI 1093165250

Master of Arts, PLPC

Olivia Niemiec

Speech-Language Pathologist

NPI 1093234205
Genevieve Luitjohan

Counselor - Professional

NPI 1114639994
NPI 1205972247

Master of Social Work

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 330 N GORE AVE, WEBSTER GROVES, MO 631191600 (Tel: 3149194700)

📍
Updated Business Mailing Address July 08, 2007

Registered at 11 VILLAWOOD LN, WEBSTER GROVES, MO 631194916 (Tel: 3145706439)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PAMELA STACK, MA, ATR-BC, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #002178 in MO)

🟢
Initial NPI Registration & Enumeration May 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962610444
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

11 Villawood Ln

Webster Groves, MO 631194916

Phone: 3145706439

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.