Individual provider · Type 1 NPI
Mary Tackett, LISW
Clinical Social Worker · Worthington, OH
Practice location
65 E Wilson Bridge Rd Ste 303
Worthington, OH 43085-2704
Mailing address
65 E Wilson Bridge Rd
Worthington, OH 43085-2703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | I.2607842 (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 1003400029
Mary Tackett, LISW's National Provider Identifier is 1003400029, issued on Feb 22, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Worthington, OH. The record was last updated on Oct 10, 2026.