Individual provider · Type 1 NPI

Kelly Souder, LICSW

Clinical Social Worker · Spokane Valley, WA

NPI number 1316402852 Active

Practice location

14519 E 20th Ct
Spokane Valley, WA 99037-9471

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X009820 (CT)
Clinical Social Worker Primary 1041C0700XLW60915408 (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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About NPI 1316402852

Kelly Souder, LICSW's National Provider Identifier is 1316402852, issued on Feb 8, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Spokane Valley, WA. The record was last updated on Feb 8, 2019.