Individual provider · Type 1 NPI

Dale Myra Tushman, LCSW

Clinical Social Worker · Kingsland, GA

NPI number 1013960004 Active

Practice location

100 Mariners Dr Ste D
Kingsland, GA 31548-6667

Fax (912) 510-0754

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW 001945 (GA)

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 1013960004

Dale Myra Tushman, LCSW's National Provider Identifier is 1013960004, issued on May 18, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kingsland, GA. The record was last updated on Dec 31, 2019.