Individual provider · Type 1 NPI

Colleen Wetherwax, LISW

Clinical Social Worker · Chardon, OH

NPI number 1669820734 Active

Practice location

13300 Aquilla Rd
Chardon, OH 44024-7944

Call (440) 279-2090 Map

Fax (440) 285-2574

Mailing address

12557 Ravenwood Dr
Chardon, OH 44024-9009

Other practice locations

  • 12557 Ravenwood Dr, Chardon, OH 44024-9009 · (440) 285-3568
  • 695 South St, Chardon, OH 44024-1474 · (440) 285-1631

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI2002109 (OH)

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…

2 other providers at this address

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About NPI 1669820734

Colleen Wetherwax, LISW's National Provider Identifier is 1669820734, issued on May 31, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chardon, OH. The record was last updated on May 22, 2020.