Individual provider · Type 1 NPI

Nicolette Corella Moore Rutan, LSWAIC

Clinical Social Worker · Bellevue, WA

NPI number 1427744556 Active

Practice location

80 159th Pl NE
Bellevue, WA 98008-4415

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSC61280235 (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 1427744556

Nicolette Corella Moore Rutan, LSWAIC's National Provider Identifier is 1427744556, issued on Apr 12, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bellevue, WA. The record was last updated on Apr 12, 2023.