Individual provider · Type 1 NPI

Mary Kathryn Lagerstrom, MSW, LICSW

Clinical Social Worker · Seattle, WA

NPI number 1043706690 Active

Practice location

300 Lenora St Suite 795
Seattle, WA 98121-9812

Call (855) 455-4454 Map

Fax (206) 649-4490

Mailing address

5101 E Berneil Dr
Paradise Valley, AZ 85253-1545

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XSC60823056 (WA)
Clinical Social Worker Primary 1041C0700XLW61323093 (WA)

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 1043706690

Mary Kathryn Lagerstrom, MSW, LICSW's National Provider Identifier is 1043706690, issued on Jul 6, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Seattle, WA. The record was last updated on Feb 14, 2023.