Individual provider · Type 1 NPI
Gary Hannoch, LCSW, QCSW
Clinical Social Worker · Boulder, CO
Practice location
2975 Valmont Rd Ste 310
Boulder, CO 80301-1361
Mailing address
PO Box 18521
Boulder, CO 80308-1521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 991358 (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…
2 other providers at this address
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About NPI 1104093699
Gary Hannoch, LCSW, QCSW's National Provider Identifier is 1104093699, issued on May 13, 2008. 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 13, 2008.