Individual provider · Type 1 NPI

Douglas Allen Kirk, LCSW

Clinical Social Worker · Madison, WI

NPI number 1962516187 Active

Practice location

306 N Brooks St
Madison, WI 53715-1002

Fax (608) 256-0743

Mailing address

1602 Wicklow Way
Madison, WI 53711-3665

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X7093-123 (WI)

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 1962516187

Douglas Allen Kirk, LCSW's National Provider Identifier is 1962516187, issued on Aug 17, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, WI. The record was last updated on Jul 8, 2007.