Individual provider · Type 1 NPI

Carol Gilliom

Clinical Social Worker · Ellensburg, WA

NPI number 1881764769 Active

Practice location

220 W 4th Ave
Ellensburg, WA 98926-3060

Mailing address

PO Box 959
Yakima, WA 98907-0959

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW00004092 (WA)

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 1881764769

Carol Gilliom's National Provider Identifier is 1881764769, issued on Nov 8, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ellensburg, WA. The record was last updated on Mar 22, 2011.