Individual provider · Type 1 NPI

Matthew Ty Barrus, LCSW

Clinical Social Worker · Powell, WY

NPI number 1003100181 Active

Practice location

1106 Julie Ln
Powell, WY 82435-1632

Mailing address

862 Risen Son Rd
Powell, WY 82435-8473

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-582 (WY)

Clinical Social Worker: 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 interpers…

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About NPI 1003100181

Matthew Ty Barrus, LCSW's National Provider Identifier is 1003100181, issued on Jun 6, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Powell, WY. The record was last updated on Jun 6, 2011.