Individual provider · Type 1 NPI

Richard Young Modenbach, LCSW

Clinical Social Worker · Tulsa, OK

NPI number 1053643429 Active

Practice location

744 W 9th St, 8th Floor
Tulsa, OK 74127-9020

Fax (918) 599-5859

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1891 (OK)

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 1053643429

Richard Young Modenbach, LCSW's National Provider Identifier is 1053643429, issued on Feb 9, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tulsa, OK. The record was last updated on Feb 9, 2010.