Individual provider · Type 1 NPI

Lauren Alexandra Waller, LCSW

Clinical Social Worker · Boulder, CO

NPI number 1104231612 Active

Practice location

1790 30th St Ste 350
Boulder, CO 80301-1071

Mailing address

451 Thistle Pl
Longmont, CO 80504-3907

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW.09929799 (CO)
Social Worker 104100000XLSW.0009923130 (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 1104231612

Lauren Alexandra Waller, LCSW's National Provider Identifier is 1104231612, issued on Jun 23, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boulder, CO. The record was last updated on Oct 3, 2024.