Individual provider · Type 1 NPI

Kaygen Kay Deitrick, LMSW

Clinical Social Worker · Waverly, IA

NPI number 1912746009 Active

Practice location

2022 3rd Ave NW
Waverly, IA 50677-2010

Call (319) 596-5910 Map

Mailing address

3337 Kipling Rd
Waterloo, IA 50701-9187

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X124975 (IA)

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 1912746009

Kaygen Kay Deitrick, LMSW's National Provider Identifier is 1912746009, issued on May 20, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waverly, IA. The record was last updated on May 20, 2024.