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Mrs. Mary B Ezequelle, LCSW,PC
Clinical Social Worker in Gypsum, Colorado
NPI 1700116845

Mary B Ezequelle is a Clinical Social Worker based in Gypsum, CO and is specialized in Clinical. Mary B Ezequelle practices in Gypsum, CO and has the professional credentials of LCSW,PC. The NPI Number for Mary B Ezequelle is 1700116845 and holds a License No. 991906 (Colorado).

The current practice location address for Mary B Ezequelle is 262 Cedar Dr, Gypsum, CO and can be reached out via phone at 970-524-2025 and via fax at 970-524-2025.

Location: 262 Cedar Dr, Gypsum, CO, 81637-4066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700116845
Provider Name
Mary B Ezequelle
Credential
LCSW,PC
Provider Entity Type
Individual
Gender
Female
Address
262 Cedar Dr, Gypsum, CO, 81637-4066
Phone Number
970-524-2025
Fax Number
970-524-2025
Provider Enumeration Date
01/13/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
262 Cedar Dr
City
Gypsum
State
Colorado
Zip
81637-4066
Phone Number
970-524-2025
Fax Number
970-524-2025
person
Provider Business Mailing Address Details
Address
262 Cedar Dr
City
Gypsum
State
Colorado
Zip
81637-4066
Phone Number
970-524-2025
Fax Number
970-524-2025
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
991906 (Colorado)
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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