Individual provider · Type 1 NPI

Jessica S. Datta, LSW

Clinical Social Worker · Perrysburg, OH

NPI number 1003113150 Active

Practice location

975 Commerce Dr
Perrysburg, OH 43551-5228

Call (419) 874-0274 Map

Fax (419) 874-9960

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XS0027641 (OH)

Clinical Social Worker: 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 interpers…

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About NPI 1003113150

Jessica S. Datta, LSW's National Provider Identifier is 1003113150, issued on Feb 24, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Perrysburg, OH. The record was last updated on Feb 24, 2011.