Individual provider · Type 1 NPI

Willa Susan Pendergrast, LCSW

Clinical Social Worker · Golden, CO

NPI number 1427361401 Active

Practice location

22212 Chippewa Ln
Golden, CO 80401-8046

Fax (303) 557-6240

Mailing address

535 Ithaca Dr
Boulder, CO 80305-5629

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X979027 (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 1427361401

Willa Susan Pendergrast, LCSW's National Provider Identifier is 1427361401, issued on Jul 20, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Golden, CO. The record was last updated on Jul 20, 2010.