Individual provider · Type 1 NPI

Jaydee Lynn Weatherwax

Clinical Social Worker · Missoula, MT

NPI number 1497464168 Active

Practice location

1515 S Russell St
Missoula, MT 59801-3629

Mailing address

2100 Stephens Ave Ste 105
Missoula, MT 59801-6607

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XBBH-SWLC-LIC-72913 (MT)

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 1497464168

Jaydee Lynn Weatherwax's National Provider Identifier is 1497464168, issued on Nov 21, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Missoula, MT. The record was last updated on Feb 4, 2025.