Individual provider · Type 1 NPI
Leonard David Ellentuck, MSW
Clinical Social Worker · Rockville, MD
Practice location
10116 Treble Ct
Rockville, MD 20850-3561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 14669 (MD) |
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 1023399250
Leonard David Ellentuck, MSW's National Provider Identifier is 1023399250, issued on Sep 1, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockville, MD. The record was last updated on Sep 1, 2011.