Individual provider · Type 1 NPI

Douglas Robert Bratholt, LCSW

Clinical Social Worker · Viera, FL

NPI number 1033455076 Active

Practice location

2900 Veterans Way
Viera, FL 32940-8007

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW10586 (FL)

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 1033455076

Douglas Robert Bratholt, LCSW's National Provider Identifier is 1033455076, issued on Dec 19, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Viera, FL. The record was last updated on Dec 19, 2012.