Individual provider · Type 1 NPI

Kristi Gowell Roark, LICSW

Clinical Social Worker · Wolfeboro, NH

NPI number 1174644215 Active

Practice location

10 Endicot Street
Wolfeboro, NH 03894

Mailing address

PO Box 255
Wolfeboro, NH 03894-0255

Other practice locations

  • 70 Bay St, Wolfeboro, NH 03894-4320 · (603) 569-1884

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1355 (NH)

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 1174644215

Kristi Gowell Roark, LICSW's National Provider Identifier is 1174644215, issued on Apr 3, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wolfeboro, NH. The record was last updated on Aug 27, 2018.