Individual provider · Type 1 NPI

Jeremy Chisum, LCSW

Clinical Social Worker · Colorado Springs, CO

NPI number 1932608726 Active

Practice location

7254 Amber Ridge Dr
Colorado Springs, CO 80922-2417

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCWS.09924004 (CO)

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 1932608726

Jeremy Chisum, LCSW's National Provider Identifier is 1932608726, issued on Feb 7, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Colorado Springs, CO. The record was last updated on Feb 7, 2018.