Organization · Type 2 NPI

Broadside Psychotherapy

Clinical Social Worker · Nine Mile Falls, WA

NPI number 1003737941 Active

Practice location

16610 N Suncrest Dr
Nine Mile Falls, WA 99026-9476

Mailing address

1818 W Francis Ave # 180
Spokane, WA 99205-6834

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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…

About NPI 1003737941

Broadside Psychotherapy's National Provider Identifier is 1003737941, issued on Jul 24, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Nine Mile Falls, WA. The record was last updated on Jul 24, 2026.