Individual provider · Type 1 NPI

Peter Kingsley, LCSW

Clinical Social Worker · Minot Afb, ND

NPI number 1679069843 Active

Practice location

10 Missile Ave
Minot Afb, ND 58705-5003

Call (701) 723-5633 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW61205441 (WA)

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 1679069843

Peter Kingsley, LCSW's National Provider Identifier is 1679069843, issued on Jul 10, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minot Afb, ND. The record was last updated on Jan 4, 2024.