Individual provider · Type 1 NPI

Maike L. Tan, MSW LCSW

Clinical Social Worker · Pinedale, WY

NPI number 1386891430 Active

Practice location

24 Country Club Lane
Pinedale, WY 82941

Fax (307) 367-2166

Mailing address

PO Box 856
Pinedale, WY 82941-0856

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-605 (WY)

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 1386891430

Maike L. Tan, MSW LCSW's National Provider Identifier is 1386891430, issued on Aug 20, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pinedale, WY. The record was last updated on Aug 20, 2008.