Organization · Type 2 NPI
Jack L. Humphries, Lisw, Ltd.
Clinical Social Worker · Albuquerque, NM
Practice location
8800 Palomar Ave NE
Albuquerque, NM 87109-7205
Fax (505) 798-1743
Mailing address
PO Box 16387
Albuquerque, NM 87191-6387
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | I-3613 (NM) |
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 1043376288
Jack L. Humphries, Lisw, Ltd.'s National Provider Identifier is 1043376288, issued on Dec 30, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Albuquerque, NM. The record was last updated on Aug 22, 2020.