Organization · Type 2 NPI

Exit 56 Therapy Group LLC

Clinical Social Worker · Crestview, FL

NPI number 1013733799 Active

Practice location

124 John King Rd
Crestview, FL 32539-8306

Fax (850) 680-6289

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Clinical Psychologist	103TC0700X	None listed
School Psychologist	103TS0200X	None listed
Clinical Social Worker Primary	1041C0700X	None listed
Occupational Therapy Assistant	224Z00000X	None listed
Pediatric Physical Therapist	2251P0200X	None listed
Pediatric Occupational Therapist	225XP0200X	None listed
Speech-Language Pathologist	235Z00000X	None listed

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 1013733799

Exit 56 Therapy Group LLC's National Provider Identifier is 1013733799, issued on Nov 27, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Crestview, FL. The record was last updated on Nov 27, 2024.