Individual provider · Type 1 NPI

Avi-Natan Zadaka, LCSW

Clinical Social Worker · Boulder, CO

NPI number 1154927226 Active

Practice location

777 29th St Ste 500
Boulder, CO 80303-2357

Call (763) 442-7238 Map

Mailing address

569 Willoughby Way E
Hopkins, MN 55305-5414

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X28038 (MN)
Clinical Social Worker Primary 1041C0700X09928781 (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 1154927226

Avi-Natan Zadaka, LCSW's National Provider Identifier is 1154927226, issued on Dec 4, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boulder, CO. The record was last updated on Feb 27, 2023.