JESSICA WACLAWSKI


Address: 51 Eagle Rd, Eagle-vail, CO 81620
Phone: 3037170801

JESSICA WACLAWSKI (NPI# 1235599507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235599507
Entity Type Individual
Full Name JESSICA WACLAWSKI
Credential LCSW
Practice Address 51 Eagle Rd
Eagle-vail
CO 81620
Mailing Address Po Box 1776
Avon
CO 81620-1776
Practice Telephone 3037170801
Mailing Telephone 3037170801
Enumeration Date 2016-03-01
Last Update Date 2016-03-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
CO Behavioral Health & Social Service Providers

Office Location

Street Address 51 EAGLE RD
City EAGLE-VAIL
State CO
Zip Code 81620

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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

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Competitor

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City EAGLE-VAIL
Zip Code 81620

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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