Individual provider · Type 1 NPI
Amber Ivanova, LCSW, LAC
Clinical Social Worker · Boulder, CO
Practice location
2525 13th St Ste 200
Boulder, CO 80304-4104
Fax (720) 565-4132
Mailing address
1735 S Public Rd Ste 203
Lafayette, CO 80026-7093
Other practice locations
- 1355 S Colorado Blvd Ste C-100, Denver, CO 80222-3305 · (720) 588-0281
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0000931 (CO) |
| Clinical Social Worker Primary | 1041C0700X | CSW.09925143 (CO) |
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 1063917862
Amber Ivanova, LCSW, LAC's National Provider Identifier is 1063917862, issued on Mar 26, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boulder, CO. The record was last updated on May 14, 2021.