Individual provider · Type 1 NPI

Glen Gaugh, LMSW

Clinical Social Worker · Jackson, TN

NPI number 1003321902 Active

Practice location

24 Weatherford Sq
Jackson, TN 38305-2202

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9206 (TN)

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 1003321902

Glen Gaugh, LMSW's National Provider Identifier is 1003321902, issued on Dec 13, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, TN. The record was last updated on Dec 13, 2017.