Individual provider · Type 1 NPI

Toni Wyatt-Kirkeby, LCSW

Clinical Social Worker · Coos Bay, OR

NPI number 1013110055 Active

Practice location

1620 Thompson Rd
Coos Bay, OR 97420-2150

Fax (541) 266-8640

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL 1437 (OR)

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 1013110055

Toni Wyatt-Kirkeby, LCSW's National Provider Identifier is 1013110055, issued on Jun 7, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coos Bay, OR. The record was last updated on Jun 25, 2013.