Individual provider · Type 1 NPI
Dena Southerlan, LCSW
Clinical Social Worker · Eagle, CO
Practice location
1143 Capitol Street Unit 206C
Eagle, CO 81631
Fax (970) 445-2700
Mailing address
PO Box 7612
Avon, CO 81620-7612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 09924204 (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 1588020788
Dena Southerlan, LCSW's National Provider Identifier is 1588020788, issued on Jan 5, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eagle, CO. The record was last updated on Jan 5, 2016.