Organization · Type 2 NPI
Evergreen Coast Therapy LLC
Clinical Social Worker · Lacey, WA
Practice location
4456 Logan Dr NE
Lacey, WA 98516-1351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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 1275454829
Evergreen Coast Therapy LLC's National Provider Identifier is 1275454829, issued on Jul 21, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lacey, WA. The record was last updated on Jul 21, 2026.