Individual provider · Type 1 NPI

Crystal Marie Wavrick

Clinical Social Worker · Missoula, MT

NPI number 1801300702 Active

Practice location

619 SW Higgins Ave Ste E
Missoula, MT 59803-1430

Mailing address

4998 Sonoma St
Missoula, MT 59808-8694

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XBBH-LCSW-LIC-25772 (MT)

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 1801300702

Crystal Marie Wavrick's National Provider Identifier is 1801300702, issued on Nov 30, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Missoula, MT. The record was last updated on Nov 30, 2017.