Individual provider · Type 1 NPI

Jessica Kundrata, LCSW

Clinical Social Worker · Augusta, ME

NPI number 1699224600 Active

Practice location

1 Alden Ave
Augusta, ME 04330-6185

Fax (207) 621-6211

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	LC17320 (ME)

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 1699224600

Jessica Kundrata, LCSW's National Provider Identifier is 1699224600, issued on Oct 3, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Augusta, ME. The record was last updated on Feb 3, 2019.