Individual provider · Type 1 NPI

Marilyn Elllen Kovtunovich, LCSW

Clinical Social Worker · Ashland, OR

NPI number 1720185408 Active

Practice location

320 E Main St, Suite 203
Ashland, OR 97520-6800

Mailing address

PO Box 3
Ashland, OR 97520-0001

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X490 (OR)

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 1720185408

Marilyn Elllen Kovtunovich, LCSW's National Provider Identifier is 1720185408, issued on Sep 17, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ashland, OR. The record was last updated on Jan 10, 2011.