Individual provider · Type 1 NPI

Theresa E. Scully, LICSW

Clinical Social Worker · Williston, ND

NPI number 1316485634 Active

Practice location

125 Main St; Unit 220
Williston, ND 58801

Mailing address

125 Main St Unit 220
Williston, ND 58801-6030

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X4970 (ND)

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 1316485634

Theresa E. Scully, LICSW's National Provider Identifier is 1316485634, issued on Feb 7, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Williston, ND. The record was last updated on Feb 7, 2017.