Individual provider · Type 1 NPI

Amanda Blake Rennaker

Clinical Social Worker · Durango, CO

NPI number 1114449063 Active

Practice location

1309 E 3rd Ave Unit B-5
Durango, CO 81301-5255

Fax (303) 617-2365

Mailing address

725 E College Dr Unit 2
Durango, CO 81301-5570

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1114449063

Amanda Blake Rennaker's National Provider Identifier is 1114449063, issued on Jul 12, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Durango, CO. The record was last updated on Oct 19, 2022.