Individual provider · Type 1 NPI

Mollie A. Rundstrom

Clinical Social Worker · Lacey, WA

NPI number 1053293357 Active

Practice location

4160 6th Ave SE
Lacey, WA 98503-1039

Mailing address

302 Fir St NE
Olympia, WA 98506-4638

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSC70002859 (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 1053293357

Mollie A. Rundstrom's National Provider Identifier is 1053293357, issued on Jul 25, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lacey, WA. The record was last updated on Jul 25, 2025.