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Amber Fawn Gentrysouthard, MSW,LICSW
Clinical Social Worker in Puyallup, Washington
NPI 1902079924

Amber Fawn Gentrysouthard is a Clinical Social Worker based in Puyallup, WA and is specialized in Clinical. Amber Fawn Gentrysouthard practices in Puyallup, WA and has the professional credentials of MSW,LICSW. The NPI Number for Amber Fawn Gentrysouthard is 1902079924 and holds a License No. LW 60072190 (Washington).

The current practice location address for Amber Fawn Gentrysouthard is 325 E Pioneer, Puyallup, WA and can be reached out via phone at 253-445-8120 and via fax at 253-697-3730. You can also correspond with Amber Fawn Gentrysouthard through the mailing address at 325 E PIONEER, PUYALLUP, WA - 98372-3265 (mailing address contact number: 253-445-8120).

Location: 325 E Pioneer, Puyallup, WA, 98372-3265
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902079924
Provider Name
Amber Fawn Gentrysouthard
Credential
MSW,LICSW
Provider Entity Type
Individual
Gender
Female
Address
325 E Pioneer, Puyallup, WA, 98372-3265
Phone Number
253-445-8120
Fax Number
253-697-3730
Provider Enumeration Date
04/10/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
325 E Pioneer
City
Puyallup
State
Washington
Zip
98372-3265
Phone Number
253-445-8120
Fax Number
253-697-3730
person
Provider Business Mailing Address Details
Address
325 E Pioneer
City
Puyallup
State
Washington
Zip
98372-3265
Phone Number
253-445-8120
Fax Number
253-697-3730
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
LW 60072190 (Washington)
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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