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...
ID license #LCSW-25493taxonomy 1041C0700X
Identifiers
Type
Value
Notes
05 (ID)
806106400
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
NICMH
Type code 5recorded 2008-05-19
Practice context
Multi-provider organization.
4 individual providers on file at this primary address.
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