Individual provider · Type 1 NPI

Johanna Katheryne Smith Bakken, L.C.S.W.

Clinical Social Worker · Wheat Ridge, CO

NPI number 1326295692 Active

Practice location

4891 Independence St, Suite 165
Wheat Ridge, CO 80033-6752

Fax (303) 456-0607

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1564 (CO)

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 1326295692

Johanna Katheryne Smith Bakken, L.C.S.W.'s National Provider Identifier is 1326295692, issued on Aug 19, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wheat Ridge, CO. The record was last updated on May 13, 2010.