Individual provider · Type 1 NPI

Kellie King, CSW-INTERN

Clinical Social Worker · Mountain Home Afb, ID

NPI number 1780199828 Active

Practice location

90 Hope Dr Bldg 6000
Mountain Home Afb, ID 83648-1062

Call (208) 828-7580 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XIC-1164 (NV)

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 1780199828

Kellie King, CSW-INTERN's National Provider Identifier is 1780199828, issued on Dec 12, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mountain Home Afb, ID. The record was last updated on Jul 12, 2023.