Individual provider · Type 1 NPI

Stephen Maynard, LCSW

Clinical Social Worker · Kelso, WA

NPI number 1124477393 Active

Practice location

1710 Allen St
Kelso, WA 98626-4907

Call (360) 261-7020 Map

Mailing address

2700 N Emerson St
Portland, OR 97217-3821

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL5823 (OR)

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 1124477393

Stephen Maynard, LCSW's National Provider Identifier is 1124477393, issued on Jun 8, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kelso, WA. The record was last updated on Jun 21, 2016.