Individual provider · Type 1 NPI
Diane Jo Dettloff
Clinical Social Worker · Mancos, CO
Practice location
35815 Road P.5
Mancos, CO 81328-8798
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | CSW.09925569 (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 1245947670
Diane Jo Dettloff's National Provider Identifier is 1245947670, issued on Nov 4, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mancos, CO. The record was last updated on Nov 4, 2022.