Organization · Type 2 NPI

Intent Revival

Clinical Social Worker · Fort Collins, CO

NPI number 1457851925 Active

Practice location

1817 Orchard Pl
Fort Collins, CO 80521-3323

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW.09925190 (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 1457851925

Intent Revival's National Provider Identifier is 1457851925, issued on Feb 20, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Collins, CO. The record was last updated on Feb 20, 2018.