Individual provider · Type 1 NPI

Mamie Tisue, LCSW

Clinical Social Worker · Salida, CO

NPI number 1700351905 Active

Practice location

134 F St Ste 201
Salida, CO 81201-2160

Mailing address

PO Box 1355
Salida, CO 81201-1355

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW.09924968 (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 1700351905

Mamie Tisue, LCSW's National Provider Identifier is 1700351905, issued on Oct 4, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salida, CO. The record was last updated on Dec 11, 2024.