Individual provider · Type 1 NPI

Mary Kay Gordon-Brunner

Clinical Social Worker · Caldwell, ID

NPI number 1003593914 Active

Practice location

314 Badiola St
Caldwell, ID 83605-4389

Call (702) 589-4871 Map

Mailing address

PO Box 264
Middleton, ID 83644-0264

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-33403 (ID)

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 1003593914

Mary Kay Gordon-Brunner's National Provider Identifier is 1003593914, issued on Jul 3, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Caldwell, ID. The record was last updated on Aug 10, 2023.