Individual provider · Type 1 NPI

Poling Chan, LCSW

Clinical Social Worker · Fort Collins, CO

NPI number 1245389618 Active

Practice location

504 S College Ave, Suite D
Fort Collins, CO 80524-3002

Call (970) 481-7397 Map

Fax (970) 226-6103

Mailing address

1701 Overlook Dr
Fort Collins, CO 80526-3335

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X992606 (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 1245389618

Poling Chan, LCSW's National Provider Identifier is 1245389618, issued on Jan 8, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Collins, CO. The record was last updated on Jul 8, 2007.