Individual provider · Type 1 NPI

Gregory L. Wiltfang, PhD, LISW

Clinical Social Worker · Raton, NM

NPI number 1265665848 Active

Practice location

139 S 2nd St, Suite 4
Raton, NM 87740-3905

Fax (157) 544-5054

Mailing address

P.o. Box 566, 139 S 2nd St
Raton, NM 87740-3905

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XM-67045 (NM)
Clinical Social Worker Primary 1041C0700XI-07762 (NM)

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 1265665848

Gregory L. Wiltfang, PhD, LISW's National Provider Identifier is 1265665848, issued on Aug 28, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raton, NM. The record was last updated on Nov 21, 2011.