Individual provider · Type 1 NPI
Anna Petit Maynard
Clinical Social Worker · Boulder, CO
Practice location
1134 10th St.
Boulder, CO 80302
Mailing address
1134 10th Street.
Boulder, CO 80302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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 1104194067
Anna Petit Maynard's National Provider Identifier is 1104194067, issued on Dec 7, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boulder, CO. The record was last updated on Dec 7, 2011.