Individual provider · Type 1 NPI

Ken Vickery, LCSW

Clinical Social Worker · Vancouver, WA

NPI number 1962963512 Active

Practice location

1601 E 4th Plain Blvd
Vancouver, WA 98661-3713

Call (503) 229-8262 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL6532 (OR)

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 1962963512

Ken Vickery, LCSW's National Provider Identifier is 1962963512, issued on Mar 27, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vancouver, WA. The record was last updated on Mar 27, 2019.