Individual provider · Type 1 NPI

Lydia Madruga, LCSW

Clinical Social Worker · Kansas City, MO

NPI number 1912103003 Active

Practice location

1740 Jefferson St
Kansas City, MO 64108-1104

Fax (816) 471-2521

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	003542 (MO)

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 1912103003

Lydia Madruga, LCSW's National Provider Identifier is 1912103003, issued on Jun 25, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kansas City, MO. The record was last updated on Jul 8, 2007.