Individual provider · Type 1 NPI
Mara Braun Kormylo, LCSW
Clinical Social Worker · Golden, CO
Practice location
112 N Rubey Dr Unit 130
Golden, CO 80403-3211
Mailing address
PO Box 3291
Evergreen, CO 80437-3291
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 992526 (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 1962541763
Mara Braun Kormylo, LCSW's National Provider Identifier is 1962541763, issued on Feb 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Golden, CO. The record was last updated on Jul 8, 2007.