Individual provider · Type 1 NPI

Kelsey Rae Gravelle, SUDP LICSW

Clinical Social Worker · Longview, WA

NPI number 1952840944 Active

Practice location

900 Fir St
Longview, WA 98632-2544

Call (360) 575-3316 Map

Mailing address

PO Box 2429
Longview, WA 98632-8486

Other practice locations

  • 7700 NE 26th Ave, Vancouver, WA 98665-0672 · (360) 397-8228
  • PO Box 2429, Longview, WA 98632-8486 · (360) 353-9494
  • 922 Fir St, Longview, WA 98632-2525 · (360) 353-9442

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCO60714593 (WA)
Clinical Social Worker Primary 1041C0700XLW61677731 (WA)
Counselor 101Y00000XNone listed

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 1952840944

Kelsey Rae Gravelle, SUDP LICSW's National Provider Identifier is 1952840944, issued on Feb 23, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Longview, WA. The record was last updated on May 8, 2025.