Individual provider · Type 1 NPI

Wendy G. Etzkorn, MSW LICSW

Clinical Social Worker · Hurricane, WV

NPI number 1912099862 Active

Practice location

104 Station Place Way, Appalachian Family Medicine
Hurricane, WV 25526

Fax (304) 201-1140

Mailing address

8 Stonegate Drive
Hurricane, WV 25526

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XDP00454495 (WV)

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 1912099862

Wendy G. Etzkorn, MSW LICSW's National Provider Identifier is 1912099862, issued on Sep 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hurricane, WV. The record was last updated on Jul 8, 2007.