Individual provider · Type 1 NPI
Mary R. Pederson, BA
Clinical Social Worker · Spokane, WA
Practice location
711 E 3rd Ave
Spokane, WA 99202-2211
Mailing address
107 S Division St
Spokane, WA 99202-1510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | SWI.LW.70056120 (WA) |
| Counselor | 101Y00000X | CG61052785 (WA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | SWI.LW.70056120 (WA) |
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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- Dustin Haywood, LICSWClinical Social Worker Spokane, WA NPI 1013434240
- Arissa Linda Ann Paul, BASWClinical Social Worker Spokane, WA NPI 1013450071
- Brianna Nechelle Lewis, LMSWClinical Social Worker Spokane, WA NPI 1013592153
- Gabriella Evangeline Gruen, MSW, LSWAICClinical Social Worker Spokane, WA NPI 1013598341
About NPI 1306472873
Mary R. Pederson, BA's National Provider Identifier is 1306472873, issued on Mar 17, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Spokane, WA. The record was last updated on Aug 1, 2026.