Individual provider · Type 1 NPI

Robert Justin Edmunds, LCSW

Clinical Social Worker · Bowling Green, KY

NPI number 1053176404 Active

Practice location

600 US 31W Byp
Bowling Green, KY 42101-4906

Call (270) 782-0120 Map

Mailing address

4034 Charwood Cir Apt 9
Erlanger, KY 41018-2937

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	257284 (KY)

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 1053176404

Robert Justin Edmunds, LCSW's National Provider Identifier is 1053176404, issued on Feb 15, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bowling Green, KY. The record was last updated on Feb 15, 2024.