Individual provider · Type 1 NPI

Kym Frances Codallos, MSW, ACSW, LCSW, CPRP

Clinical Social Worker · Laramie, WY

NPI number 1184756272 Active

Practice location

615 Roger Canyon Rd
Laramie, WY 82072-8902

Mailing address

PO Box 1733
Laramie, WY 82073-1733

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X25688 (CA)

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 1184756272

Kym Frances Codallos, MSW, ACSW, LCSW, CPRP's National Provider Identifier is 1184756272, issued on Mar 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Laramie, WY. The record was last updated on Oct 12, 2022.