Individual provider · Type 1 NPI

Debra Kellerman, LCSW

Clinical Social Worker · Hope, ID

NPI number 1134544968 Active

Practice location

140 Alpine Lane
Hope, ID 83836-0175

Mailing address

PO Box 175
Hope, ID 83836-0175

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-24886 (ID)

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 1134544968

Debra Kellerman, LCSW's National Provider Identifier is 1134544968, issued on Mar 4, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hope, ID. The record was last updated on Mar 4, 2014.