Individual provider · Type 1 NPI

Mary Katherine Nissen, LCSW

Clinical Social Worker · Ronan, MT

NPI number 1760735682 Active

Practice location

407 Main St SW
Ronan, MT 59864-2710

Mailing address

PO Box 528
Bethel, AK 99559

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X189560 (AK)
Clinical Social Worker Primary 1041C0700X66438 (MT)
Social Worker 104100000XNone listed

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 1760735682

Mary Katherine Nissen, LCSW's National Provider Identifier is 1760735682, issued on Oct 16, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ronan, MT. The record was last updated on Dec 1, 2023.