Individual provider · Type 1 NPI
Brenda Vactor, LCSW, PIP
Clinical Social Worker · Huntsville, AL
Practice location
3007 Memorial Pkwy SW # Sx
Huntsville, AL 35801-5393
Fax (256) 705-4630
Mailing address
3007 Memorial Pkwy SW
Huntsville, AL 35801-5393
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 1692C (AL) |
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 1063420644
Brenda Vactor, LCSW, PIP's National Provider Identifier is 1063420644, issued on Aug 3, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Huntsville, AL. The record was last updated on Mar 7, 2017.