Individual provider · Type 1 NPI

Ingrid L. Shadow, LCSW

Clinical Social Worker · Fort Worth, TX

NPI number 1063272292 Active

Practice location

3540 Manderly Pl
Fort Worth, TX 76109-4520

Call (817) 739-8170 Map

Other practice locations

  • 1607 N Main St Ste A, Cleburne, TX 76033-3875 · (817) 739-8170

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X35298 (TX)

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 1063272292

Ingrid L. Shadow, LCSW's National Provider Identifier is 1063272292, issued on Mar 22, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 22, 2024.