Individual provider · Type 1 NPI

Samana May Tackett, LISW

Clinical Social Worker · Chillicothe, OH

NPI number 1013493097 Active

Practice location

272 Hospital Rd Ste 120
Chillicothe, OH 45601-9031

Mailing address

600 Wayne Ave
Dayton, OH 45410-1122

Other practice locations

  • 600 Wayne Ave, Dayton, OH 45410-1122 · (937) 396-2511

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XS.1701262 (OH)
Clinical Social Worker Primary 1041C0700XI.2203951 (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 1013493097

Samana May Tackett, LISW's National Provider Identifier is 1013493097, issued on Jul 13, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chillicothe, OH. The record was last updated on Sep 19, 2023.