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Ms. P. Diane Wild, LCSW
Clinical Social Worker in Boulder, Colorado
NPI 1821120353

P. Diane Wild is a Clinical Social Worker based in Boulder, CO and is specialized in Clinical. P. Diane Wild practices in Boulder, CO and has the professional credentials of LCSW. The NPI Number for P. Diane Wild is 1821120353 and holds a License No. 979032 (Colorado).

The current practice location address for P. Diane Wild is 2315 Broadway St, Boulder, CO and can be reached out via phone at 303-443-3174.

Location: 2315 Broadway St, Boulder, CO, 80304-4122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821120353
Provider Name
P. Diane Wild
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
2315 Broadway St, Boulder, CO, 80304-4122
Phone Number
303-443-3174
Fax Number
Provider Enumeration Date
03/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
979032 01 CO STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
2315 Broadway St
City
Boulder
State
Colorado
Zip
80304-4122
Phone Number
303-443-3174
Fax Number
person
Provider Business Mailing Address Details
Address
2315 Broadway St
City
Boulder
State
Colorado
Zip
80304-4122
Phone Number
303-443-3174
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
979032 (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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