Individual provider · Type 1 NPI

Alexandra Duvall, LCSW, SAC-IT

Clinical Social Worker · Medford, WI

NPI number 1043862386 Active

Practice location

540 College St
Medford, WI 54451-2027

Mailing address

112 Allen St
Athens, WI 54411-9242

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X131643 (WI)
Clinical Social Worker Primary 1041C0700X9851-123 (WI)
Addiction (Substance Use Disorder) Counselor 101YA0400X18807 (WI)

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 1043862386

Alexandra Duvall, LCSW, SAC-IT's National Provider Identifier is 1043862386, issued on Jul 16, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, WI. The record was last updated on Oct 7, 2022.