Individual provider · Type 1 NPI

Rose Kelly, LICSW

Clinical Social Worker · Vancouver, WA

NPI number 1104377233 Active

Practice location

1601 E Fourth Plain Blvd Bldg 17
Vancouver, WA 98661-3717

Call (360) 558-5795 Map

Fax (360) 397-8494

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X60811714 (WA)

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 1104377233

Rose Kelly, LICSW's National Provider Identifier is 1104377233, issued on Oct 24, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vancouver, WA. The record was last updated on Dec 8, 2023.