Organization · Type 2 NPI

Bruce R Penn Inc

Clinical Social Worker · Tucker, GA

NPI number 1023255684 Active

Practice location

5165 Lavista Rd
Tucker, GA 30084-3602

Mailing address

4378 Sleepy Hollow Cv
Lilburn, GA 30047-4196

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW002606 (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 1023255684

Bruce R Penn Inc's National Provider Identifier is 1023255684, issued on Jan 19, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tucker, GA. The record was last updated on Jan 19, 2009.