Individual provider · Type 1 NPI

Kimberly Wyatt, MSW

Clinical Social Worker · Salem, OR

NPI number 1770116394 Active

Practice location

2600 Center St NE
Salem, OR 97301-2669

Mailing address

1805 SE 30th Ave
Portland, OR 97214-4934

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL4367 (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 1770116394

Kimberly Wyatt, MSW's National Provider Identifier is 1770116394, issued on Feb 21, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salem, OR. The record was last updated on Feb 21, 2020.