Individual provider · Type 1 NPI

Mary Couillard

Clinical Social Worker · Grand Island, NE

NPI number 1609340165 Active

Practice location

2201 N Broadwell Ave
Grand Island, NE 68803-2153

Mailing address

615 N Elm St
Grand Island, NE 68801-4254

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X11647 (NE)

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 1609340165

Mary Couillard's National Provider Identifier is 1609340165, issued on Jan 17, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Island, NE. The record was last updated on Dec 15, 2025.