Individual provider · Type 1 NPI

Spencer Park

Clinical Social Worker · Vancouver, WA

NPI number 1376824649 Active

Practice location

1601 E Fourth Plain Blvd
Vancouver, WA 98661-3713

Call (360) 696-4061 Map

Mailing address

401 3rd St
San Francisco, CA 94107-1214

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLCS28457 (CA)
Clinical Social Worker Primary 1041C0700XLW60761384 (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 1376824649

Spencer Park's National Provider Identifier is 1376824649, issued on Aug 31, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vancouver, WA. The record was last updated on Mar 26, 2019.