Individual provider · Type 1 NPI

Jim R. Klock, LCSW

Clinical Social Worker · Fort Collins, CO

NPI number 1093876484 Active

Practice location

760 Whalers Way, Suite C-200
Fort Collins, CO 80525-3370

Call (970) 495-4853 Map

Fax (970) 204-7883

Mailing address

1907 Topanga Ct
Fort Collins, CO 80528-6278

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X989163 (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 1093876484

Jim R. Klock, LCSW's National Provider Identifier is 1093876484, issued on Dec 12, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Collins, CO. The record was last updated on Jul 8, 2007.